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Nursing Interventions and Tips for Answering Nursing Exam Questions On Mysthenia Gravis

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					Nursing Interventions and Tips for Answering Nursing Exam
Questions On Mysthenia Gravis
  Step 1
     What causes it
     It is an autoimmune disease with idiopathic causes too. The acetylcholine
     receptors in the persons nervous system are lost from autoimmune attacks
     and transmission of impulses for skeletal function is decreased leading to
     weakness and fatigue.
  Step 2

     Know the signs
     Extreme muscular weakness and fatigue, facial muscle weakness especially
     in the eyes (ptosis) ,mask like expression, dysarthria (inarticulate) and
     dysphagia and peripheral weakness.

  Step 3
     Know the complications that may occur
     Aspiration and respiratory failure may occur but myasthenic crisis is a
     complication that is peculiar to this disease. the signs of myasthenic crisis
     sudden respiratory distress, signs of
     ptosis,diplobia,dysohagia,tachycardia,anxiety and rapidly increasing
     weakness of the trunk and the extremities.

  Step 4
     Know the interventions for myasthenic crisis
     Stop anticholinergic medication until respiration improves
     Prostigmin I.V for treatment
     Plasmapheresis to remove antiboies
     Tensilon test to differentiate between cholinergic and myasthenic crisis
     Airway management including oxygen therapy,suctioning to remove
     secretions.
     Maintain a high fowler position

				
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