MultipleSclerosis

MultipleSclerosis - bladder/bowel dysfunction Cerebellar:...

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1 MULTIPLE SCLEROSIS Presented by Manny Ramos RN, MSN Multiple Sclerosis (MS) • Chronic demyelinating disease of CNS • Progressive, increasing loss of function • Onset between ages 20-50 • Relapse-remission • Stressors trigger MS Pathophysiology • Believed to be autoimmune response • Demyelinating disease of CNS • Plaque formation • Impaired nerve conduction • Absent impulse transmission • Scarring of glia • Degeneration of axons
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2 Nerve Manifestations • Fatigue • Optic nerve: blurred vision, haziness • Brain stem: nystagmus, dysarthria, cognitive dysfunction, vertigo, deafness • Weakness, leg numbness, spastic paresis,
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Unformatted text preview: bladder/bowel dysfunction Cerebellar: nystagmus, ataxia, hyoptonia blindness Diagnostic tests Neuro exam CSF: elevated T lymphocytes, IgG MRI: multifocal lesions CT scan PET Evoked response testing 3 Medications ACTH Glucocorticosteroids Immunosuppresants: Imuran, Cytoxan Cyclophosphamide Antispasmodics Anticholinergic, cholinergics Nursing diagnoses Fatigue Self care deficits Management Physical therapy Education Fatigue and exacerbation management Prevention of urinary and respiratory infections Support groups Home health agency...
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MultipleSclerosis - bladder/bowel dysfunction Cerebellar:...

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