GUI Coursework Materials

GUI • It is an acute, progressive, autoimmune, inflam -mmatory demyelinating polyneuropathy of the peripheral sensory & motor nerves and roots nerve • GBS an inflammatory disorder characterized by abrupt onset of symmetrical paresis Cweakness) that Closs of motor & progresses to pas Causes and Risk-factor • Idiopathic • Guine Hu vaccination. •Anesthesia SLE •Thrombolytics, Immunosuppressive drugs. Following infection with Zika virus. •After intecting with Covid 19. Reaction to Thomson and Jhonson or Astra •Most commonly, infection with campylobactor, Influenza VITUS Cytomegalovirus. Epstein-Barr virus. •Hepatitia A, B, C&E • HIV, the VITUS that causes AIDS •Mycoplasma preamania. •Surgery Tralenda •Hodakin's Lymphoma.. • Randy, influenza vaccinations vaccinations. or childhood Pathophysiology Due to a causative factor gurative Edema & inflammation of acttected neve Failure of immune System H-fails-to distinguish btw-foreingn. protein & nerve protein Demyelination of peripheral nerves. Failure of transmission of nerve impulsu GBS Imp Classification Acute inflammatory Demyelinating polyneurops -It is caused by an actal imrhune response directed schwann cell membranes. Miller Fisher Syndrome - It manifests as - a descending paralysis. the eye It usually affects Omuscles first and presents with triad of opthmoplegia, ataxia & arfflezie triad 3 Acute motor axonal neuropathy - It affects the motor nerves. Acute motor Gensory asconal neuropathy. It affects the motor & sensory berver Acute panautonomic neuropathy It associated with a high mortality rate due to cardiovascular involvement 6) Bickerstatt's brainstem Encephalitis. It is characterized by acute onset of opthalmoplegia, Alazia, disturbance in consciousnes hyperret lencia. C/M •A pins and needle ankles or umats. fingers, toes, •Weakness in legs that spreads to upper body. • Unsteady walking or inability to walk or climb Glairs. •Ditiscutty aith facial movements, including. Speak, checuing or Swalloaring. • Double 1 Severe pain That Cramp Like Ee inability 40 may move the eyes feel achy, shooting or be worse at May with bladder •Difficulty function at nighty bowel control or •Rapid heart rate Low or high Ditticutly I breathing. • Pulmonary tunction test Complication • Breadhing difficulty. Residual numbness or other sensation . •Heart Ee blood pressure problem. •Pain •Bowel & bladder-function problem. Blood clot • Pressure Gores Management 1. Intravenous Immunoglobulin Therapy Civia) This is an in lusion of antibodies C-the proteins that body user-to-fight foreign invaders) that has been collected Hom ting of thousands of other people Plasma This is a exchange Plasmapheresis). proceduld that involves-fittering the liquid part of blood Cknown During this tering as plasma) process, body's Scotich and attacking the antibodies which are never nou removed & tleaned plasmd is returned back to body. This helps to stop the bodys immune system from continuing to attack hermes Mechanical Ventilation. Pain Control These includes NSAIDS, GABAPENTIN, Carbamazepine / narcotic analgesics Nursing Management During the aculle phase of the illness the patient may be in the ICU, particularly to support pulmonary fanction wrth endotrachet Intubation & mehanical ventilators. Care of the patient who is -pheresis includes storing the 'n plaat amount of plasma removed a retea reintused & monitoring for any reactions to the fluid replacement. • Teach deep breathing exercise & coughing Hechniques. •Monitor the patient who is mechanically. ventilated for airway destruction. • Use deep endobradual suction to maintain a patent airway, but monitor the patient cassfully. for dysrhythmias and dropping oxygen. Saturation. •Cardiac dysrrhythmias atro occur in GBS, so patient's require continuous cardiac monitoring Provide passive ROM exercis. et least twice a day, turn the patient at least every & hours, and use splinti and pillow supports To keep the Limbs in functional positions.. • Control the environment to dimit the susk of injury from falls. •Inspect for integrity of the skin. 4 Frequent eye care of the individual with. Cranial nerve I involvement. • Give mouth care atleast every 4 hours. Use relaxation exercises, indlide the patient. in decision mabing and pronde frequent. explanation of of coas to decrease the patient's anxiety. •If the patient cannot speak bez ET intubation or -Try-to establish paralysis-try-to communication by having once for the patient blink. El twice for'no' • Teach Patrengthening exercises for hands. Such as balls. modellag clay or Squeezing