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DUCHENNE MUSCULAR DYSTROPHY - Coggle Diagram
DUCHENNE MUSCULAR DYSTROPHY
Nursing interventions/Nursing care:
Multidiscipline; Quality of life considerations; Support independence of child; family support and education
Need to: assess vital signs Q4H; may need oxygenation; keep HOB elevated; teach breathing techniques; assist with using mobility devices; ensure safe environment (clear pathway); monitor effective airway clearance (encourage liquids if applicable)
Patho
weakness and wasting of the muscle
XL recessive
abnormality of genetic codes for muscle proteins
X linked inherited only in boys mainly symptoms less severe in females
caused by mutations in encoding dystrophin
Pharmacology: The administration of Corticosteroids such as Prednisone prolongs ambulation, preserves respiratory function, and has been shown to decrease the incidence of scoliosis and cardiomyopathy.
Prednisone is administered for 6 months to 2 years in order to decrease the progression of the weakness.
Prevention Pharmacology: Influenza and Pneumococcal Vaccinations as needed.
For ineffective cough reflex: Mechanical Cough in-exsufflator (MIE) for cough assist.
Respiratory Care : BiPAP machine
Labs and Diagnostic Tests
Confirmed by molecular genetic detection of deficient dystrophin by DNA analysis from peripheral blood or muscle tissue obtained by biopsy
The diagnosis Is primarily established by blood polymerase chain reaction for the dystrophin gene mutation
Serum enzyme measurement, muscle biopsy, and EMG used to establish diagnosis
Serum CK levels usually high for the first 2 years of life before the onset of clinical weakness
Patient safety considerations
Ambulate with caution due to trouble moving extremities and walking
Eat a consistent, healthy diet to prevent malnutrition
Keep a clutter free environment to make it easy to get around & avoid falls
Expected outcomes
Most people with this condition die from lung or heart complications
Average life expectancy = 27 years
loss of ambulation by age 12
progressive, gradual degeneration
Pt education
no cure so the goal is to maintain functioning in muscles as long as possible!
can start physical therapy for muscle weakness
an IEP in school can help your child's success
staying active is key
Names : Rosie K, Jaelah W, Kayla E, Kyra T, Carly H, Karleen M, Mishell S.