Guillain-Barre Syndrome Flashcards

1
Q

guillain-barre syndrome

A

edema and inflammation which cause segmental loss of myelin sheath and expand nerve membranes r/t viral or bacterial infection

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2
Q

pathophysiology of GBS

A

nerve transmission is slowed or stopped, leading to flaccid paralysis with muscle denervation and atrophy; neruologic function returns in a proximal-distal pattern

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3
Q

main clinical manifestation of GBS

A

acute, ascending (feet and hands moving up), rapidly progressive, symmetric weakness of limbs

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4
Q

first symptoms of GBS

A

weakness; paresthesia (numbness, tingling); hypotonia (decreased muscle tone); reflexes in affected limbs may be absent

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5
Q

autonomic nervous system dysfunction from GBS

A

orthostatic hypotension; hypertension; abnormal vagal response (bradycardia, heart block, asystole); LOC; bowel and bladder dysfunction; facial flushing; diaphoresis; CN involvement (LOOK UP LATER)

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6
Q

clinical manifestations and complications of GBS

A

pain, paresthesia, muscular aches/cramps, hyperesthesia, worse at night, decreased appetite, sleep disruption, respiratory failure (paralysis progresses to nerves in thorax)

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7
Q

motor nursing management of GBS

A

ascending paralysis, reflexes, CN functions (LOOK UP), and LOC

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8
Q

nursing management for respiratory in GBS

A

ABGs and vital capacity

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9
Q

nursing management for cardiac in GBS

A

BP, rate, and rhythm

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10
Q

nursing management for fever and nutrition in GBS

A

antibiotics; high risk for aspiration

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11
Q

nursing management for acute phase of GBS

A

venilatory suppoirt

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12
Q

nursing management in the ICU for GBS

A

hemodynamic monitors

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13
Q

immunomodulating drugs for GBS

A

plasma exchange, high-dose IV immunoglobulin

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14
Q

when does recovery start for GBS

A

spontaneously approx. in 28 days

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