Alzheimers Disease Covered in chapter 47 Unknown cause Can only be detected

Alzheimers disease covered in chapter 47 unknown

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Alzheimer’s Disease Covered in chapter 47 Unknown cause Can only be detected with an autopsy Slow onset, progresses at varying rates of speed through several stages, and eventually fatal
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Amyotrophic Lateral Sclerosis (ALS) aka Lou Gehrig’s disease Etiology and pathophysiology: Progressive degeneration of the gray matter Electrical and chemical messages can’t reach muscles to activate them Death within 3 years usually Signs and symptoms: Progressive weakness to the point of atrophy of the voluntary muscles Remains mentally alert with no sensory impairment Mental depression
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Amyotrophic Lateral Sclerosis Diagnosis: No confirmatory laboratory test Electromyelography and muscle biopsy Treatment: No cure Supportive care ADLs Eventually need trach and ventilator Planning with family signals acceptance
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Guillain-Barré Syndrome (GBS) Etiology and pathophysiology: Affects the peripheral nervous system Unknown cause but usually follows viral respiratory infection or gastroenteritis with 10-21 days Pathologic changes include Demyelination, inflammation, edema, and nerve root compression which lead to: Paresthesia, pain, progressive ascending paralysis
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Guillain-Barré Syndrome (GBS) Signs and symptoms: Progressive muscle weakness usually starting in the extremities and moves medial in 24-72hrs Numbness and tingling in feet and hands Hyperesthesia : Abnormal sensitivity to stimuli Pain Diagnosis: Mimics many other neuro diseases and mostly depends on clinical presentation CSF analysis Electromyography (EMG) and nerve conduction show reduced conduction velocity
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Guillain-Barré Syndrome (GBS) Treatment: Plasmapheresis: pt’s plasma removed and “washed” to remove antibodies and their “heathy” cells given back to them once cleaned IV immune globulin Nutritional support d/t dysphagia TPN or tube feedings
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Nursing Management of Guillain- Barré Syndrome (GBS) Monitor progression of ascending paralysis. Assess respiratory function. Assess gag, corneal, and swallowing reflexes. Observing vital signs. Watch for orthostatic hypotension and cardiac dysrhythmia.
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Guillain-Barré Syndrome: Evaluation Acute phase: Sustain life Prevent complications related to immobility Promote rest and comfort Static phase: Plateau usually reached in 1-3 weeks after onset This phase may last days to months Motor loss and paresthesia no longer progress No better or no worse = stabilized Balance of rest and exercise
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Guillain-Barré Syndrome: Evaluation Rehabilitation phase: Gradual recovery
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