Case Study Chapter 58 Chronic Neurologic Problems Myasthenia Gravis…
Question Answered step-by-step Case Study Chapter 58 Chronic Neurologic Problems Myasthenia Gravis… Case StudyChapter 58 Chronic Neurologic ProblemsMyasthenia Gravisapprox 30 minPatient ProfileS.D., a 58.year-old black man, was diagnosed with myasthenia gravis (MG) several years ago. He has been taking pyridostigmine and prednisone since then and has had few symptoms. Today, while visiting his daughter, he had a choking episode followed by the onset of severe weakness in his arms and legs along with respiratory distress. She drove him immediately to the emergency department.Subjective DataReports difficulty “getting enough air”Says food “got stuck in my throat”Having difficulty speaking clearlyObjective DataPhysical ExaminationBlood pressure 172/90, pulse 102, respirations 24 and shallow, temperature 99.9°FOxygen saturation 91% on room airSymmetric muscle weakness involving all four limbs and jaw musclesOne episode of bladder incontinence since arrivalTense and anxiousDiaphoreticQuestion 1What is the pathophysiology of MG? Question 2What complication of MG is S.D. experiencing? Question 3His daughter asks what may have caused her father to get worse. What would you tell her? Question 4Case Study ProgressThe resident evaluates S.D. and tells S.D. and his daughter that testing is needed to determine whether S.D. is experiencing a myasthenic or cholinergic crisis.After the resident leaves, S.D.’s daughter asks you what the difference is between myasthenic and cholinergic crises. How would you respond? Question 5What test is given to distinguish the difference between a myasthenic and cholinergic crisis? Question 6S.D. is found to have a myasthenic crisis. What is the likely treatment plan for S.D.? Question 7What are the priority nursing diagnoses at this time? Question 8What will be the focus of your ongoing assessments? Question 9Outline points to include in S.D.’s discharge teaching plan Health Science Science Nursing RNSG 1341 Share QuestionEmailCopy link Comments (0)
