PNS Disorders

Question 1

What is the main clinical sign of Guillian Barre Syndrome

Answer 1

Ascending Weakness

Question 2

Question to ask pt who is thought to have Guillian Barre?

Answer 2

Have you had a recent viral or bacterial infection

Question 3

1 priority intervention for GBS?

Answer 3

Maintain adequate respiratory function

Question 4

Will a pt recover from GBS?

Answer 4

Yes, but recovery is slow

Question 5

What is Myasthenia Gravis?

Answer 5

Chronic progressive autoimmune disorder characterized by weakness and rapid fatigue of any muscles under your voluntary control.

Question 6

What is the etiology of MG?

Answer 6

Antibodies block the receptor sites for acetylcholine

Question 7

A MG pt will have more strength in the AM or the PM?

Answer 7

AM

Question 8

S&S for MG?

Answer 8

facial muscle weakness-ptosis, muscle weakness in arms and legs, difficulty breathing, swallowing, and chewing

Question 9

What is Tensilon testing?

Answer 9

Tensilon is given and MG pt shows marked improvement in muscle tone

Question 10

What can be removed to try and help the MG? What is it called?

Answer 10

Thymus, Thymectomy

Question 11

What is a Myasthenic crisis?

Answer 11

an exacerbation of myasthnic symptoms caused by an undermedication

Question 12

What is Cholinergic crisis?

Answer 12

an acute exacerbation of muscle weakness caused by an over medication

Question 13

What is the antidote for Tensilon?

Answer 13

Atropine

Question 14

Priority after given Atropine?

Answer 14

Suctioning r/t drying of secretions

Question 15

Trigeminal Neuralgia affects which cranial nerve?

Answer 15

5th cranial nerve

Question 16

What causes TN?

Answer 16

contact between a artery or vein and the 5th CN

Question 17

What is the sign of TN?

Answer 17

lightning like shooting pain in the face.

Question 18

Are opiates and NSAIDS effective for pain management in TN?

Answer 18

NO

Question 19

Non pharmacological treatment for TN?Does is complete destroy or damage 5th CN?

Answer 19

Gamma knife/ damage

Question 20

Post op care for TN?

Answer 20

Eye care related to no pain sensation on operative side

Question 21

What cranial nerve is affect by Bell’s Palsy?

Answer 21

7th CN

Question 22

Treatment medication for BP?

Answer 22

Acyclovir

Question 23

Nursing interventions for BP?

Answer 23

protect eyes-drops, eye patch