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Myasthenia Gravis

Myasthenia Gravis. Nursing Interventions. Nursing Interventions for Acute Care/Crisis. Respiratory Support -respiratory assessment frequently -ventilatory support or BIPAP Mobility -appropriate rest periods -ROM exercises Medications:anticholinesterases

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Myasthenia Gravis

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  1. Myasthenia Gravis Nursing Interventions

  2. Nursing Interventions for Acute Care/Crisis • Respiratory Support -respiratory assessment frequently -ventilatory support or BIPAP • Mobility -appropriate rest periods -ROM exercises • Medications:anticholinesterases • Promoting Self Care • Communication

  3. PostopThymectomy • Observe surgical site: - transcervical (more common) -transthoracic( pneumo/hemothorax) -endoscopic • Monitor respiratory status • Monitor for infection

  4. Patient Education • Medications -importance of taking meds on time -know meds and side effects -what meds to avoid: antibiotics (icin, mycin, xacin) beta blockers (“ol” drugs) opoids antihistamines -keep extra supply in car/at work

  5. Patient Education • Precipitating factors -Stress -Infections -Temperature changes (hot tubs) -Medications -Alcohol -Surgery • Signs and Symptoms of Myasthenia or Cholinergic Crisis

  6. Patient Education • Promoting mobility and Self Care • -schedule activities with rest periods • -use of assistive devices as needed • -support of OT/PT • -encourage independence

  7. Patient Education • Communication -when weak, yes/no questions -use of gestures -assistive devices (notepads,pictures) • Nutrition -smaller, frequent meals (timed around med) -high, calorie snacks

  8. Nursing Diagnosis • Activity Intolerance r/t muscle fatigability and weakness • Disturbed Sensory Perception r/t ptosis and diplopia • Impaired Verbal Communication r/t muscle weakness

  9. Video for Myasthnia Gravis • http://www.youtube.com/watch?v=-v8XNHE9vH0&NR=1

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