Guillian Barre

Question 1

What is GBS

Answer 1

Acute, immune mediated poly neuritis. It is progressive and ascending. Fairly symmetrical muscle weakness with absent or depressed DTR. Patients usually present days to a week after onset of symptoms. Symptoms of weakness could range from mild difficulty walking to almost complete paralysis

Question 2

Common symptoms

Answer 2

Paresthesias in hands and feet, pain in back and extremities, dysautonomia (Tachycardia, labile blood pressure, orthostatic hypotension, illeus , urinary retention)

Question 3

GVS is often preceded by what

Answer 3

A viral infection or immunization, trauma or surgery

Question 4

How to diagnose GBS

Answer 4

Teen history and physical, test CSF fluid one week after onset to check for protein increase or white blood cell count, nerve conduction studies and needle electromyography

Question 5

Plan of care

Answer 5

Frequent physical assessments, assess gag and corneal reflexes, frequent vital signs, nutritional interventions, pain management interventions due to neuropathic pain, urinary retention monitoring, providing support and encouragement

Question 6

Plasmapheresis

Answer 6

46 treatments over 8-6 days

Question 7

IV immune globulin

Answer 7

Give five times a day

Question 8

Prognosis

Answer 8

95% survive, 75% completely recover, 25 to 30% have residual weakness after three years, 3% may suffer relapse of weakness and tingling