Guillain- Barre Syndrome Flashcards

1
Q

GBS

A

An autoimmune disorder causing acute inflammation and demyelination of cranial nerves and peripheral nerves myelin sheath
Demyelination cause it impulse conduction to be slow

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2
Q

3 phase of GBS

A

Progressive deterioration (1-4 weeks)
Plateau (peaked)
Recovery (progressive recovery 6mnths- 2yrs)

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3
Q

What is usually the first thing effected

A

Ankles (foot drop)
Symmetrical disease and starts distal to proximal (recovery would be proximal to distal)

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4
Q

Early S&S

A

Distal lower extremity paresis (weakness) and sensory disturbance (glove and/or stocking distribution)
Muscles aches and tenderness

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5
Q

General S&S

A

(Presents like a LMN)
ANS dysfunction
Atrophy
Fatigue
Hypo reflexia
Hypotonia
Pain
Paresis
Paresthesia
Respiratory problems

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6
Q

Complications of GBS

A

Autonomic instability
Deep vein thrombosis
Pressure sores
Respiratory tract infection
Respiratory failure

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7
Q

Interventions- medical

A

Medical management
- corticosteriods
- may require intubation and mechanical ventilation
- pain
- immunosuppressive

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8
Q

Interventions- Physical therapy

A

Pulmonary rehab
Strengthening
Gentle stretching and positioning
Mobility training
Wheelchair pscriptions
Assistive device training
Education

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