Question

Moore, A.S. & Shepard, L.H. (2014). Myasthenia gravis vs. guillain-barré syndrome what’s the difference? (Links to an external site.)Links to an external site. Nursing Made Incredibly Easy! 12 (4). 21-30.

Initial Discussion Post:

Select one (1) of the following Nursing Diagnoses:

Impaired Spontaneous Ventilation

Impaired Swallowing

Care Giver Role Strain

Address the following:

Is the nursing diagnoses that you selected appropriate for the patient with a diagnosis of myasthenia gravis, Guillain-Barre syndrome or both? Explain your answer.

Provide an outcome for the nursing diagnosis that you selected making sure that is specific to the needs of the patient with myasthenia gravis or Guillain-Barre syndrome.

Identify two (2) interventions that will help your patient with myasthenia gravis or Guillain-Barre syndrome reach the outcome for the nursing diagnosis.

Base your initial post on your readings and research of this topic

Include References with citations.

Answer 1

Nursing diagnosis :

Impaired Spontaneous Ventilation

In GBS as well as myasthenia gravis, the muscles of respiration becomes weak causing breathing impairements. Also the cough reflex becomes weak.

Nursing outcome

The nursing outcome is to maintain the respiratory rate of 12-20 breaths/min and oxygen saturation more than 92%.

Nursing intervention

1. Monitor the oxygen saturation through pulse oxymeter.

2. Regularly assess patient for signs of activity intolerance like dyspnea, shortness of breath, dizziness, palpitation.

3. Regularly monitor respiratory rate.

4. Position patient in such a way as gravity assists the breathing muscles.

5. Give breathing exercises to patient.

6. Teaching proper coughing techniques

7. Spirometry

The reference source is www. nursestudy.net.