Week 7 - Guillain-Barre Syndrome Flashcards
what is guillain-barre syndrome (GBS)
- acute, rapidly progressing, and potentially fatal form of paralysis
how does GBS manifest as (2)
- symmetrical, ascending paralysis
- demyelination of peripheral nerves –> eventually remyelinates
describe the prognosis of GBS
- with adequate supportive case and rehab, 85% of affected pts recover completely
what is GBS often precipitated by (3)
- infection (resp or GI usually)
- possible link between vaccination
- immunological response directed at peripheral nerves
describe the symptoms of GBS
- range from mild to severe
- progresses over hours, days, or lonher
what are symptoms of GBS (8)
- distal extremities effected most severely
- parasthesia –> paralysis
- hypotonia
- areflexia (no reflexes)
- pain
- autonomic nervous system dysfunction
- facial weakness
- dysphagia
severity varies among individuals
what signs of autonomic nervous system dysfunctions occur in GBS (4)
- CVS signs
- bowel and bladder dysfunction
- facial flushing
- diaphoresis
what CVS signs of autonomic nervous system dysfunction occur in GBS (5)
- orthostatic hypotension
- HTN
- bradycardia
- heart block
- asystole
describe the pain associated w GBS (5)
- secondary to neuropathy occurring
- muscle aches and cramps
- hyperaesthesias
- parasthesias
- worse at night
what impact can pain in GBS have (2)
- decreased appetite
- interfere w sleep
at what point are the symptoms of GBS most severe
- at 3rd week
describe the diagnosis of GBS (2)
- history
- S&S
what is the most serious complication of GBS
- resp failure –> if paralysis progresses to nerves that innervate the thoracic area
what nursing care should be done r/t the comp of resp failure in GBS
- constant monitoring of resp system
what are other complications associated w GBS (3)
- UTIs
- resp infections
- complications from immobility associated w paralysis
