Impaired Spontaneous Ventilation The definition of Impaired Spontaneous Ventilation is decreased energy reserves resulting in an inability to maintain independent breathing adequate to support life (Ladwig, Ackley, & Makic Flynn, 2014). The patient suffering from Myasthenia Gravis (MG) and Gillian Barre Syndrome (GBS) have an autoimmune nervous system disorder, resulting in respiratory muscle weakness that can lead to Impaired spontaneous Ventilation. MG starts from the head and moves downward to the toes and is an autoimmune disorder where acetylcholine receptors are blocked by antibodies. Acetylcholine normally causes an excitatory effect at the neuromuscular junctions. The client will usually seek a physician's help because they
…show more content…
The client will complain of a mild case of weakness of the feet and hands, numbness, tingling, muscle tenderness and cramp like pains going upward towards the trunk. This movement can progress rapidly. In some cases the patient may have an abnormal heart rate and palpitations leading to orthostatic hypotension. They can have either blurred vision or double vision and have a hard time moving their facial muscles. In an emergency situation with GBS the patient may exhibit drooling, difficulty breathing and swallowing. GBS and MS have similar airway problems leading to impaired spontaneous ventilation related to muscle fatigue (Hinkle, Cheever, & Kerry, 2014). The preferred outcome is that the patient may effectively maintain his airway without complication such as ventilator acquired pneumonia. Maintaining the airway until the disease subsides and the patient is weaned from the ventilator is the goal in treating this disease. Nursing intervention include pulmonary toilet to prevent aspiration pneumonia , frequent reposition of the patient, frequent suctioning as needed, thorough oral care, and keeping the head elevated at 30 degree. These interventions can prevent ventilator acquired pneumonia and mechanical ventilation complication (Epstein,
The client will complain of a mild case of weakness of the feet and hands, numbness, tingling, muscle tenderness and cramp like pains going upward towards the trunk. This movement can progress rapidly. In some cases the patient may have an abnormal heart rate and palpitations leading to orthostatic hypotension. They can have either blurred vision or double vision and have a hard time moving their facial muscles. In an emergency situation with GBS the patient may exhibit drooling, difficulty breathing and swallowing. GBS and MS have similar airway problems leading to impaired spontaneous ventilation related to muscle fatigue (Hinkle, Cheever, & Kerry, 2014). The preferred outcome is that the patient may effectively maintain his airway without complication such as ventilator acquired pneumonia. Maintaining the airway until the disease subsides and the patient is weaned from the ventilator is the goal in treating this disease. Nursing intervention include pulmonary toilet to prevent aspiration pneumonia , frequent reposition of the patient, frequent suctioning as needed, thorough oral care, and keeping the head elevated at 30 degree. These interventions can prevent ventilator acquired pneumonia and mechanical ventilation complication (Epstein,