Difficulty swallowing and speaking eventually

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Difficulty swallowing and speaking Eventually, respirations shallow; difficulty clearing airway of pulmonary secretions Death results from aspiration, respiratory infection, or respiratory failure
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ALS Medical diagnosis History and physical examination findings Electromyography Medical treatment Because no known cure or treatment, therapy is supportive; focuses on preventing complications and maintaining maximum function
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ALS: Nursing Care Interventions Ineffective Airway Clearance Impaired Physical Mobility Imbalanced Nutrition: Less Than Body Requirements Impaired Verbal Communication Impaired Skin Integrity Anticipatory Grieving Situational Low Self-Esteem Interrupted Family Processes
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Guillain-Barré Syndrome Etiology and risk factors Although specific cause unknown, it is believed to be an autoimmune response to a viral infection Patients often report some recent viral infection or vaccination Average age of onset 30-50 Affects men & women equally
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Guillain-Barré Syndrome Initial phase Symmetric muscle weakness: begins in lower extremities; ascends to trunk and upper extremities Visual and hearing disturbances, difficulty chewing, and lack of facial expression Hypertension, orthostatic hypotension, cardiac dysrhythmias, profuse sweating, paralytic ileus, and urinary retention
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Guillain-Barré Syndrome Plateau phase Symptoms most severe No further neurologic deterioration, but no improvement either 2-14 days Recovery phase Remyelinization; muscle strength returns in a proximal-to-distal pattern (head to toes) 6-24 months Symptoms slowly improve
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Guillain-Barré Syndrome Medical treatment Preserve vital function, particularly respiration
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  • Fall '19
  • Neurology, muscle weakness, Myasthenia gravis

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