Guillain barre hesi case study. Hesi Case Study RN med. surg. Traumatic Brain Injury 2022-10-14

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Guillain-Barré syndrome (GBS) is a rare autoimmune disorder that affects the peripheral nervous system. It is characterized by the rapid onset of muscle weakness, tingling or numbness, and sensory disturbances. GBS is a serious condition that can lead to paralysis and even death if not promptly treated.

A case study of a patient with GBS might involve a thorough evaluation of the patient's medical history, physical examination, and diagnostic tests. The patient may have a history of an infectious illness or recent vaccination, as these are known risk factors for GBS. Physical examination may reveal weakness in the muscles, particularly in the legs and arms, as well as abnormal reflexes and sensory disturbances.

Diagnostic tests that may be used to confirm a diagnosis of GBS include electromyography (EMG), nerve conduction studies, and a lumbar puncture (also known as a spinal tap) to examine the cerebrospinal fluid. Other tests, such as blood tests and imaging studies, may also be performed to rule out other potential causes of the patient's symptoms.

Treatment for GBS typically involves hospitalization, often in an intensive care unit. The main goal of treatment is to support the patient's breathing and circulation, as well as manage any complications that may arise. Treatment may also involve medications to reduce inflammation and suppress the immune system, as well as physical therapy to help the patient regain strength and mobility.

In severe cases of GBS, the patient may require mechanical ventilation to assist with breathing. Recovery from GBS can be slow and may take several months or even years. Some patients may experience residual weakness or sensory disturbances after recovery.

Overall, GBS is a complex and potentially serious condition that requires prompt diagnosis and treatment. A thorough evaluation of the patient's medical history, physical examination, and diagnostic tests is necessary to accurately diagnose GBS and provide appropriate treatment. With proper care and support, most patients with GBS can make a full recovery.

Guillain Barré Syndrome Case Study: Diagnosis & Treatment

guillain barre hesi case study

The expected outcomes are that the client with Guillain-BarrÉ syndrome will: return to usual level of physical functioningbe free from pain and discomfortmaintain nutritional status. Rationale This is a glucocorticoid and is compatible in a y-site with mannitol and furosemide. CSF contains glucose, unlike normal nasal drainage. He has gained enough motor control back to eat independently; however, this is still a challenging task. She also developed dysphagia and was also unable to swallow without choking and coughing while being fed her breakfast. Which question should the nurse ask Amid to support the diagnosis of Guillain-Barre syndrome? Were you exposed to anyone with this syndrome prior to coming to the U.

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Case Study 62 Guillain Barre webapi.bu.edu

guillain barre hesi case study

Check daily to ensure that the client's endotracheal cuff is deflated. The Approach to Tom's care will be to improve upon his presenting features, aim to reach his goals and do so in a way that is important and meaningful to him. Arrange to have a Hoyer lift sent to Amid's brother's home. Ineffective breathing pattern related to progressive muscle weakness. Verify the prescription during the healthcare provider's routine rounds.

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Guillain

guillain barre hesi case study

Three weeks later he developed bilateral weakness, numbness and tingling of his lower extremities, which rapidly progressed into his upper body. Which interventions must be performed by the nurse? It affects the peripheral nervous system and results in loss of myelin and edema and inflammation of the affected nerves, causing a loss of neurotransmission to the periphery. Download images for this case References Gupta A et al. He gets tired easily and has regained some of his strength, but he needs some assistance when getting out of the bed and the chair. He was referred to a home healthcare agency and will be receiving weekly visits from the home healthcare nurse and physical therapist. Contact the director of nurses to help understand the prescription.

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Guillain

guillain barre hesi case study

Amid's eyes are open, and he is aware of what is going on around him. You will be very tired. CORRECT Provide discharge instructions to a client ready to go home. Which action indicates the nurse understands Muslim food and beverage preferences? The client will perform active range of motion exercises. Keep the head of the bed elevated at 30 degrees.

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Case study: Guillain

guillain barre hesi case study

Tom is consistent with his exercise routine at home and would be able to attend treatment at a lower frequency. Other measures the nurse can use include observing the appearance of the drainage and using a dextrostick to assess for the presence of glucose in the drainage. Amid asks the nurse, "May I visit the mosque on my way home? He finds the pain intensity fluctuates but some pain is always present. His symptoms progressed to include progressive loss of reflexes, generalized weakness and fatigue. Acknowledge the wife's fears and explain about the ventilator and machines.


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Hesi Case Study RN med. surg. Traumatic Brain Injury

guillain barre hesi case study

The healthcare provider has determined that Amid will need a tracheostomy since it is not known how much longer he will require ventilator support. Weakness and impaired coordination leads to fumbling while completing daily chores. I miss him so much. Observe the area around Jeff's eyes. Administer by IV infusion undiluted.

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HESI Case Studies

guillain barre hesi case study

The petitioner required ongoing treatment for management of neuropathic pain in his feet, decreased reflexes and weakness. He was diagnosed with GBS and treated with IVIG, and required extensive inpatient rehabilitation. This is essential information because Guillain-Barré syndrome is an immune response that can be triggered by an infection. Furosemide 20 mg IVP following mannitol Osmitrol. That is why this is an important condition for respiratory therapists to be familiar with.

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SOLUTION: Hesi case studies medical surgical guillain barre syndrome amid haq 1

guillain barre hesi case study

These include the most commonly identified subtype — acute inflammatory demyelinating polyneuropathy AIDP which presents with loss of motor function, acute motor axonal neuropathy AMAN which affects motor function in children and acute motor-sensory axonal neuropathy AMSAN which affects both motor and sensory function. Investigations Examination Value Normal Limits WBC 4. Three weeks ago, he saw his family physician because of symptoms of fatigue, myalgia, fever, and chills, which were accompanied by a hacking cough. These 3 are Correct Dexamethasone. Rationale Periorbital ecchymosis, also called "raccoon eyes," is a common manifestation of a basilar skull fracture, along with a positive Battle's sign.

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