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GUILLIAN- BARRE SYNDROME thP4X45SJV (CLINICAL MANIFESTATIONS (• …
GUILLIAN- BARRE SYNDROME
DEFINITION
• a rare syndrome in which
• body’s immune system
• attacks you own nerves
PATHOPHYSIOLOGY
• weakness and tingling of extremities
• are the very first symptoms
• as the exact cause is unknown
• the sensations spread quickly
• eventually paralysing whole body
CAUSES
• Exact cause unknown
• Usually appears days after
• A respiratory or GIT infection
CLINICAL MANIFESTATIONS
• Prickling sensations
• Weakness in your legs
• Unsteady walking
• Difficulty with eye or facial movement
• Severe pain
• Difficulty with bladder control
• Difficulty with bowel function
• Rapid heart rate
• Low or high blood pressure
• Difficulty breathing
NURSING CARE PLAN
intervention
Provide oxygen therapy
Provide a calm and safe environment
Suction secretions safely
Use the correct PPE for certain procedures
Reassure patient and allay anxiety
Monitor normal vital signs
Monitor fluid intake and output
Administer prescribed medication
Perform active passive exercises
evalulation
Patient breathing normally
Anxiety and discomfort eliminated
Risk of infection decreased
nursing diagnosis
Ineffective breathing pattern
Anxiety
Acute pain
Impaired physical mobility
HEALTH EDUCATION
• Health educate healthy eating
• Advice adequate water intake daily
• Advice good hygiene
• Encourage regular exercises
• Importance of medication
• Encourage follow ups
RISK FACTORS
• Influenza virus
• Hodgkins lymphoma
• Epstein-Barr virus
• HIV
• Mycoplasma pneumonia
DIAGNOSTIC STUDIES
• Lumber puncture
• Electromyography
• Nerve conduction studies
TREATMENT
• Plasmapheresis
• Immunoglobulin therapy
• Physiotherapy
PHARMACOLOGY
• Blood transfusion
• Analgesia for pain
COMPLICATIONS
• Breathing difficulties
• Residual numbness
• Heart and blood pressure problems
• Pain
• Bowel and bladder function problems
• Blood clots
• Pressure sores
• Relapse
TYPES
• acute inflammation demylination polyradiculoneuropathy (AIDP)
• miller fisher syndrome
• AMAN and AMSAN
