Guillain-Barre Syndrome Flashcards
Guillain-Barre syndrome is caused by
auto immune disorder- generally after a viral or bacterial infection of the respiratory or GI system
The major pathologic or structural changes of the lungs associated with ventilatory failure accompanying Guillain-Barré syndrome include:
- bronchospasm
- airway obstruction
- mucous accumulation
- alveolar dilation
2 and 3 are correct
Your patient has an infection caused by Campylobacter jejuni. Her physician is concerned about the possible development of Guillain-Barré syndrome. If this disease were to occur, when would it appear after this current infection?
in 1 to 4 weeks
. A patient with Guillain-Barré syndrome has been placed in the intensive care unit. Initial treatment should include:
- assessment of breathing
- mechanical ventilation
- supportive care
- stabilizing vital signs
1, 3, 4 are correct
It is initially important to support the patient, assess his/her breathing, and stabilize the vital signs. Mechanical ventilation would only be instituted if the patient was in respiratory failure.
The most important thing to assess in the Guillain-Barré patient to determine acute ventilatory failure is: 1 VC measurement 2 maximum voluntary ventilation 3 forced expiratory volume in one second 4 tidal volume measurement
1- correct VC measurement
A VC (vital capacity) of
Management of the patient with Guillain-Barré Syndrome includes all of the following, EXCEPT: 1 Correct giving corticosteroids 2 mechanical ventilation 3 high-dose immunoglobulin therapy 4 plasmapheresis
A- corticosteroids
corticosteroids are not effective in treating the Guillain-Barré patient and may actually prolong recovery time
Your patient has a severe case of Guillain-Barré syndrome. It is most important that he be monitored for: 1. tachycardia 2 apnea 3 hypertension 4 fever
- apnea
Your Guillain-Barré syndrome patient was placed on mechanical ventilation when respiratory failure appeared imminent. She is now stable. Her chest radiograph will most likely show: 1. enlarged heart 2 pleural effusion 3 normal lung fields 4 pneumonia
C normal lung fields
unless there is a complicating cardiopulmonary problem. None is mentioned
In Guillain Barre, which of the following pathologic changes develop in the peripheral nerves? 1. inflammatoin 2 increased ability to transmit nerve impulses 3 demyelination 4 edema a. 2 and 3 b 3 and 4 c 2, 3, and 4 d 1, 3, 4
D: 1, 3, 4
Which of the following is associated with Guillan Barre syndrome? 1. alveolar consolidation 2 mucous consolidation 3. alveolar hyperinflation 4 atelectasis a 1 and 2 b 3 and 4 c 1, 2, and 4 d 2, 3, and 4
C: 1, 2 and 4
Guillain-Barre syndrome is move common in 1. people older than 45 years of age 2 blacks 3 males 4 early childhood
1 and 3
Which of the following are possible precursors to Guillan-Barre? 1. mumps 2 swine flu vaccine 3 infectious mononucleosis 4 measles a 1 and 4 b 2 and 3 c 2 only d 2, 3, and 4 e 1, 2, 3, and 4
answer is all- 1, 2, 3 and 4 (e)
Full recovery from Guillan Barre occurs in approximately what % of cases? 10% 30% 60% 90%
90%
Which of the following are indicators for intubation and mechanical ventilation in patients with Guillain Barre? 1. pH < 7.40 2. Paco2 > 45 3 FVC < 20 ml/kg 4 NIF < -25 cmH2O
2, 3 and 4
Pathologic changes of the peripheral nerves include:
demyelinatoin
inflammation
edema
decreased nerve impulse transmission (leading to paralysis)
