Understanding Deg/neuro Autoimmune Disorders/ Npsg 20 Correctly Answered Questions Latest Update

Guillain-Barre syndrome {Ans: an autoimmune condition that causes acute inflammation of the peripheral nerves in which myelin sheaths on the axons are destroyed, resulting in decreased nerve impulses, loss of reflex response, and sudden muscle weakness. s/s: occurs rapidly (2-4 weeks to hit peak) , weakness of lower extremities that go upward bilaterally, a viral infection can lead to this, numbness/tingling these patients are coherent despite being paralyzed these patients can recover 6 months -2 years}Myasthenia GrAvis what is it and its cues {Ans: caused by breakdown of communication between nerves and muscles (myoneural junction) specifically acetylcholine transmitters s/s muscle weakness, eyelid droop, diplopia, impaired speech, trouble breathing, changes in facial expression can be confused with bells palsy}what is akathisia {Ans: restlessness, an urgent need to move around and agitation}what are Guillain-Barre syndrome pts at risk for {Ans: DVT PE Urinary retention autonomic dysfunction and respiratory failure}Myasthenic crisis {Ans: an acute exacerbation of disease caused by inadequate amount of meds, infection fatigue or stress. pt can develop respiratory compromise management: additional ventilation, measure airway and ABG's, I/O, daily weight, if pt can't feed then NG tube may be needed, avoid sedatives}gero with Huntington's disease