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Myasthenia gravis - Coggle Diagram

- - - - 30–60 mg every 4–6 hours
      - Adjust to symptoms
      - Watch for cholinergic excess (SLUDGE)
  - - - Start 10–20 mg/day, increase gradually
      - Typical maintenance 5–15 mg/day
    - - Azathioprine (2–3 mg/kg/day)
      - Mycophenolate (1–1.5 g BID)
- - - - Focus on proximal strength (hips, shoulders)
      - Avoid fatigue → short bouts, long rests
    - - Gentle walking, cycling, swimming
      - Aim for consistency, not intensity
    - - Reduce fall risk from fluctuating weakness
    - - Pacing
      - Planning tasks
      - Sitting for ADLs when possible
  - - - Diaphragmatic breathing
      - Inspiratory muscle training (only if stable)
    - - Assisted cough techniques
    - - Recognise early signs of respiratory fatigue
    - - Avoid over‑exertion; stop if dyspnoea worsens
  - - - Articulation exercises
      - Voice conservation strategies
    - - Safe‑swallow techniques
      - Texture modification if needed
      - Postural adjustments (chin tuck, upright positioning)
  - - - Adaptive equipment (grab rails, shower chairs)
      - Task simplification
    - - Prioritisation
      - Rest scheduling
    - - Fall‑proofing
      - Minimising physical strain
  - - - Mindfulness
      - Relaxation techniques
    - - Recognising triggers
      - Medication adherence
      - Crisis warning signs
  - - - Flexible hours
      - Reduced physical load
    - - Avoid driving during exacerbations
    - - Recognising fatigue
      - Supporting pacing strategies