Guillain-Barre Syndrome

Question 1

guillain-barre syndrome

Answer 1

edema and inflammation which cause segmental loss of myelin sheath and expand nerve membranes r/t viral or bacterial infection

Question 2

pathophysiology of GBS

Answer 2

nerve transmission is slowed or stopped, leading to flaccid paralysis with muscle denervation and atrophy; neruologic function returns in a proximal-distal pattern

Question 3

main clinical manifestation of GBS

Answer 3

acute, ascending (feet and hands moving up), rapidly progressive, symmetric weakness of limbs

Question 4

first symptoms of GBS

Answer 4

weakness; paresthesia (numbness, tingling); hypotonia (decreased muscle tone); reflexes in affected limbs may be absent

Question 5

autonomic nervous system dysfunction from GBS

Answer 5

orthostatic hypotension; hypertension; abnormal vagal response (bradycardia, heart block, asystole); LOC; bowel and bladder dysfunction; facial flushing; diaphoresis; CN involvement (LOOK UP LATER)

Question 6

clinical manifestations and complications of GBS

Answer 6

pain, paresthesia, muscular aches/cramps, hyperesthesia, worse at night, decreased appetite, sleep disruption, respiratory failure (paralysis progresses to nerves in thorax)

Question 7

motor nursing management of GBS

Answer 7

ascending paralysis, reflexes, CN functions (LOOK UP), and LOC

Question 8

nursing management for respiratory in GBS

Answer 8

ABGs and vital capacity

Question 9

nursing management for cardiac in GBS

Answer 9

BP, rate, and rhythm

Question 10

nursing management for fever and nutrition in GBS

Answer 10

antibiotics; high risk for aspiration

Question 11

nursing management for acute phase of GBS

Answer 11

venilatory suppoirt

Question 12

nursing management in the ICU for GBS

Answer 12

hemodynamic monitors

Question 13

immunomodulating drugs for GBS

Answer 13

plasma exchange, high-dose IV immunoglobulin

Question 14

when does recovery start for GBS

Answer 14

spontaneously approx. in 28 days