Myasthenia Gravis

Question 1

grave’s disease

Answer 1

autoimmune disease affecting the neuromuscular transmission of impulses in the muscles of the body; neuromuscular disease

Question 2

clinical manifestations of grave’s disease

Answer 2

diplopia, ptosis, masklike affect; weakness of laryngeal and pharyngeal muscles; worse case scenario- terminal respiratory stuff

Question 3

cholinergic crisis for grave’s disease

Answer 3

too much medication triggers this due to an excess of anticholinesterase drugs… weakness 1 hour after ingestion

Question 4

myasthenic crisis

Answer 4

too little medication… improves after IV anticholinesterase drugs

Question 5

priority problems

Answer 5

ineffective airway clearance; risk for injury

Question 6

nursing interventions for grave’s disease

Answer 6

ensure trach kit is available for possible myasthenic crisis; allow for rest periods (bedrest); stress can exacerbate symptoms; protect eyes; frequent health promotion teachings; encourage deep breathing/coughing (for muscle weakness)