Page 317 - 2021 IDMT Digital
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GUILLAIN-BARRÉ SYNDROME
Introduction:
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VXUJLFDO SURFHGXUHV
• 3UREDEO\ KDV DQ LPPXQRORJLF EDVLV EXW WKH SUHFLVH PHFKDQLVP LV XQFOHDU
Subjective:
• 6LJQV DQG 6\PSWRPV
o 0DLQ FRPSODLQW LV ZHDNQHVV ZKLFK YDULHV ZLGHO\ LQ VHYHULW\ ± SUR[LPDO HPSKDVLV
V\PPHWULF GLVWULEXWLRQ
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RQH RU ERWK VLGHV RI WKH IDFH
o 7KH PXVFOHV RI UHVSLUDWLRQ FDQ EH DIIHFWHG
Objective:
• 3K\VLFDO ([DP
o 5HTXLUHV FRPSOHWH QHXURORJLFDO H[DP
o 1HXURSDWKLF DQG UDGLFXODU SDLQ DUH FRPPRQO\ SUHVHQW
o /RVV RI QHXURORJLFDO IXQFWLRQ LQ DVFHQGLQJ SDWWHUQ '75V HWF
o 3DWLHQW PD\ KDYH DXWRQRPLF GLVWXUEDQFHV ZKLFK FDQ EH OLIH-WKUHDWHQLQJ
7DFK\FDUGLD FDUGLDF LUUHJXODULWLHV K\SR RU K\SHUWHQVLRQ IOXVKLQJ VZHDWLQJ
SXOPRQDU\ G\VIXQFWLRQ DQG LPSDLUHG VSKLQFWHU FRQWURO
Assessment:
• 'LIIHUHQWLDO
o 3ROLRP\HOLWLV WRQH LV UHGXFHG QHDUO\ DOZD\V LQ DQ DV\PPHWULF PDQQHU SUR[LPDO
PXVFOHV XVXDOO\ DUH DIIHFWHG PRUH WKDQ GLVWDO RQHV DQG OHJV DUH DIIHFWHG PRUH
FRPPRQO\ WKDQ DUPV
o %RWXOLVP ELODWHUDO FUDQLDO QHXURSDWKLHV DVVRFLDWHG ZLWK V\PPHWULF GHVFHQGLQJ
ZHDNQHVV
o 7LFN SDUDO\VLV XVXDOO\ EHJLQV ZLWK SDUHVWKHVLDV DQG D VHQVH RI IDWLJXH DQG
ZHDNQHVV XVXDOO\ QR DXWRQRPLF G\VIXQFWLRQ
Plan:
• (9$& RU WUDQVIHU WKH SDWLHQW IRU LPPHGLDWH HYDOXDWLRQ
o $OO SDWLHQWV VKRXOG EH KRVSLWDOL]HG XQWLO WKHLU FRQGLWLRQ LV VWDEOH DQG WKHUH LV QR
UHVSLUDWRU\ FRPSURPLVH
• 6XSSRUWLYH FDUH SUHSDUH IRU $&/6 LQWHUYHQWLRQ
Patient Education:
• 0RVW SDWLHQWV PDNH D JRRG UHFRYHU\ EXW WKLV PD\ WDNH PDQ\ PRQWKV
• $ERXW RI SDWLHQWV DUH OHIW ZLWK SHUVLVWHQW GLVDELOLW\
Preceptor Directive:
• Red Directive: Immediate Evacuation; Contact Preceptor ASAP
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