Guillain- Barre Syndrome

Question 1

GBS

Answer 1

An autoimmune disorder causing acute inflammation and demyelination of cranial nerves and peripheral nerves myelin sheath
Demyelination cause it impulse conduction to be slow

Question 2

3 phase of GBS

Answer 2

Progressive deterioration (1-4 weeks)
Plateau (peaked)
Recovery (progressive recovery 6mnths- 2yrs)

Question 3

What is usually the first thing effected

Answer 3

Ankles (foot drop)
Symmetrical disease and starts distal to proximal (recovery would be proximal to distal)

Question 4

Early S&S

Answer 4

Distal lower extremity paresis (weakness) and sensory disturbance (glove and/or stocking distribution)
Muscles aches and tenderness

Question 5

General S&S

Answer 5

(Presents like a LMN)
ANS dysfunction
Atrophy
Fatigue
Hypo reflexia
Hypotonia
Pain
Paresis
Paresthesia
Respiratory problems

Question 6

Complications of GBS

Answer 6

Autonomic instability
Deep vein thrombosis
Pressure sores
Respiratory tract infection
Respiratory failure

Question 7

Interventions- medical

Answer 7

Medical management
- corticosteriods
- may require intubation and mechanical ventilation
- pain
- immunosuppressive

Question 8

Interventions- Physical therapy

Answer 8

Pulmonary rehab
Strengthening
Gentle stretching and positioning
Mobility training
Wheelchair pscriptions
Assistive device training
Education