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21 Cards in this Set
- Front
- Back
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_____ is an acute, rapidly progressive, potentially fatal syndrome, characterized by usually rapid muscle weakness and paralysis.
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Guillian-Barre
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Guillian-Barre is a demyelinating disorder of the ______.
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PNS
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A person with Guillian-Barre starts with numbness/weakness of the ____ and progresses _____.
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feet
upward |
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Many people who get GB have recently had some type of _____. It is also associated with poorly cooked chicken.
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virus
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Guillian-Barre has been seen in patients after getting the ____ or _____ vaccines.
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H1N1 or meningococcal
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GB is thought to be an _____ that causes destruction of myelin sheaths covering the axons of ______.
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autoimmune disorder
peripheral nerves |
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GB prevents normal transmission of electrical impulses along the ______.
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sensorimotor nerves
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GB symptoms usually follow an ____ pattern, beginning in the legs and progressing to the arms, trunk, and face.
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ascending
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There are 3 stages of GB:
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-Acute stage
-Stabilizing or plateau stage -Recovery Stage |
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The acute stage may last _____.
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hours to days
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During the acute stage the nurse should do
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neuro checks
monitor oxygen sats |
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During the _____ of GB the patient begins to have onset and progression is occurring.
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acute stage
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During GB, the patient stays at the _____ stage a couple of weeks.
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stabilizing/plateau
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The _____ stage of GB usually lasts about 2 years.
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recovery
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Diagnosis of GB is based on
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-history and clinical exam
-CSF analysis -EMG studies -pulmonary function tests |
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A CSF analysis for GB will show elevated ____ levels.
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protein
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The prognosis for patients with GB is _____.
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good. They usually recover completely without disability.
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Women with GB are at risk for relapse during _____.
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1st trimester of pregnancy
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Care for GB patients includes
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-pain management (glove/sock pain)
-diet therapy -surgery (tracheostomy) -plasmapharesis -IV immunoglobulin -Rehab therapy |
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Nsg interventions for GB patients include:
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-assessing neurologic function
-preventing problems of immobility -ensure adequate hydration and nutrition -promote respiratory function -provide psychosocial support -anticipate needs of client and family |
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2 of the primary nursing diagnoses for a patient with GB are
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Pain and Risk for Impaired Skin Integrity
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