Guillain Barre

Question 1

ascending of descending

Answer 1

Ascending ( GB- ground to brain)

Question 2

Where does paralysis begin

Answer 2

Lower extremities and move up

Question 3

How is GB developed

Answer 3

Immune response to foreign antigens

Question 4

What’s the % of cases that is developed

Answer 4

65% within one month after a fever episode

Question 5

What are some causes of GB

Answer 5

Parainfluenza 2

Question 6

What are some signs and symptoms

Answer 6

Recent flu like virus, weakness in legs, tachy and bradycardia , hypo and hypertension

Question 7

What’s the % of dysautonomia symptoms

Answer 7

70% ( autonomic dysfunction)

Question 8

What’s the best diagnosis

Answer 8

Cerebrospinal fluid ( increased protein level with normal WBC) and electromyography

Question 9

What should the RT monitor

Answer 9

FVC, MIP and MEP

Question 10

What’s the treatment for GB

Answer 10

Plasmapheresis and intravenous immune globulin

Question 11

What’s a concern if a paralyzed pt is not moving for prolonged periods

Answer 11

Increases risk for thromboembolism

Question 12

What can be given to prevent thromboembolism

Answer 12

Anticoagulants, elastic socks, excessive and frequent turning

Question 13

Management

Answer 13

Bronchopulmonary hygiene, anti inflammatory agents and anticoagulants, mechanical ventilation

Question 14

What’s are the values of VT VC and MIP

Answer 14

VT(<5), vc(<10) and MIP (<-20) = intubate