Mysthenia Gravis Flashcards
1
Q
What is it?
A
- Severe muscle weakness with exacerbations and remissions
- Antibodies block and destroy ACH at neuro junctions
2
Q
S/s
A
- Muscle weakness that is worse with exercise improves with rest
- Dyplopia
- Diff swallowing
- SHOB
- Thymus Hyperplasia
- Drooping eyelids
3
Q
DX
A
- EMG
- repetive nerve stimulation test
- tensilon test differentiates btwn MG and cholinergic crisis
4
Q
If you give a patient ACH does it make MG better or worse
A
Better!!
5
Q
Antidote for Cholinergic Crisis
A
Atropine
6
Q
Tx
A
- Nyostigme, Pyridostigme cholinergic agents!
- immunosupressants
- Plasmapheresis
- thymectomy
7
Q
Nursing Care
A
- AIRWAY Patent!!
- Asist with ambulation
- Encourage Rest
- Aspiration/ Choking Risk
- Frequent small high calorie meals
- Administer eye drops and tape eyes shut at night
