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What is Guillain-Barre`S Syndrome ( NCLEX Review)
Description
- Guillain-Barre´ syndrome is an acute infectious neuronitis of the cranial and peripheral nerves.
- The immune system overreacts to the infection and destroys the myelin sheath.
- The syndrome usually is preceded by a mild upper respiratory infection or gastroenteritis.
- The recovery is a slow process and can take years. The major concern in Guillain-Barre´ syndrome is difficulty breathing; monitor respiratory status closely.
Assessment
- Paresthesias
- Pain and/or hypersensitivity such as with the weight of bed sheets or other items touching the body
- Weakness of lower extremities
- Gradual progressive weakness of the upper extremities and facial muscles
- Possible progression to respiratory failure
- Cardiac dysrhythmias
- CSF that reveals an elevated protein level
- Abnormal electroencephalogram
Interventions
- Care is directed toward the treatment of symptoms, including pain management.
- Monitor respiratory status.
- Provide respiratory treatments.
- Prepare to initiate respiratory support.
- Monitor cardiac status.
- Assess for complications of immobility.
- Provide the client and family with support.
