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14 Cards in this Set
- Front
- Back
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What is the patho?
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- Affects PNS
- Results in loss of myelin, edema, inflammation leading to loss of neurotransmission to periphery |
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What is the syndrome usually preceded by?
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Immune system stimulation from viral infection, trauma, surgery, viral immunizations, HIV, lymphoproliverative neoplasms
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What are the clincial manifestations?
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- Bilat Ascending paralysis
- ANS involvement - SIADH - Facial weakness, EOM, dysphagia, paresthesia of face - Pain |
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What would you see with ANS involvement?q
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- Orthostatic hypotension
- Hypertension - Abnormal vagal responses - Bowel and Bladder dysfunction - Diaphoresis - Facial flushing |
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What are some complications?
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- Respiratory failure
- Respiratory infection - UTI - Immobility complications |
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How is it dx?
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- History, clinical signs
- CSF initially normal then after 7-10 days elevated protein levels - Abnormal EMG in extremities |
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What are the three stages?
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- Acute or initial phase
- Plateau period - Recovery phase |
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What happens in the acute phase? how long does it last?
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- onset of symptoms and endswhen no further deterioration occurs
- 1-4 weeks |
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What happens in the plateau period? how long does it last?
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- happens during the acute phase, no change
- several days to 2 weeks |
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What happens in the recovery phase? how long does it last?
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- Remyelination and axonal regeneration; may have permanent neuro deficits
- 4-6 months, maybe 2 yrs |
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What treatments/ meds are given?
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- Plasma exchange
- Immunoglobulin |
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What meds are not given unless medically necessary to treat something else?
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Corticosteriods
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What is the priority nursing intervention?
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Maintain adequate respiratory function
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What are some nursing interventions?
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- Assess resp function
- Monitor for infection - Communication an issue; explain everything - Assess for urinary retention - Immobility interventions - Eye care - Nutritional needs - Bowel program |
