C.B is a single , self-employed 54 year-old man. Three weeks ago,...

Question Answered step-by-step C.B is a single , self-employed 54 year-old man. Three weeks ago,… C.B is a single , self-employed 54 year-old man. Three weeks ago, he saw his primary care provider because of symptoms of fever, myalgia,and chills. which were accompanied by a hacking cough. He was diagnosed with viral influenza. Today he has weakness,numbness,and tingling of both lower extremities, which is progressing into his upper body. HIs brother brought him to the emergncy department after recognizing the seriousness of his illness. The attending physician immediately suspects Guillain-Barre Syndrome(GBS).Shortly after arrival, C.B becomes completely paralyzed and requires endotracheal intubation and mechanical ventilation. He is transferred to the neurologic ICU for further support.a. Describe the cause of GBS:GBS is an autoimmune process that occurs a few days or weeks after a viral or bacterial infection. The cause exact cause is unknown but the mechanism of action depends on the types of GBS. b. What factors in C.B.’s history support a diagnosis of GBS.C.B. has a recent history of a viral infection of the flu. Now he is having neuropathic symptoms of GBS.c. Describe the clinical manifestations of GBS.CM include: pain, paresthesia, & paralysis beginning in the lower extremities traveling upward w/ hypotonia & areflexiaANS dysfunction: orthostatic hypotension, HTN, abnormal vagal responses [bradycardia, heart block, asystole, bowel & bladder dysfunction, diaphoresis & facial flushing.D. How is GBS diagnosed, and what tests would you expect to be performed? Mainly based on patient’s history and clinical signs. Electrolyte levels, liver function, creatinine phosphokinase, erythrocyte sediment and CSF analysis are evaluated to rule out other causes. Results of EMG and NCS are used after 2 weeks to confirm the diagnosis.1. What are the goals of medical management in GBS?2. Describe the collaborative care patients generally receive in the ICU for GBS.3. What are the overall goals of nursing care for C.B. at this time?4. The attending physician states C.B. will begin either IV immune globulin or plasmapheresis. What is plasmapheresis?5. You are concerned about the possibility of disuse syndrome related to C.B.’s paralysis. Describe an outcome of nursing care for C.B., and 4 independent nursing interventions you would implement to meet that outcome.6. How would performing passive ROM exercises benefit C.B. from a cardiovascular perspective?a. ROM will help prevent C.B. from developing contractures.b. Keeping his muscles active will assist in maintaining muscle tone.c. ROM is an effective way to help prevent VTE.d. The stretching motion accompanying ROM will decrease C.B.’s pain.7. Name 5 interventions you would implement to meet the expected outcome of maintaining skin integrity.8. What is foot drop? How can it be prevented?9. How would C.B.’s nutritional needs be met?10. What evaluative parameters would you use to determine whether C.B.’s nutritional needs were being met? 11. What interventions can you implement to help decrease C.B.’s fear and anxiety? Select all that apply.a. Speak calmly to him when providing care.b. Administer continuous intravenous sedation.c. Limit visitors only to immediate family members.d. Continually reassure him that his needs are being met.e. Use a communication system that allows C.B. to let his needs be known.12. C.B.’s brother asks how long C.B. will be paralyzed. How should you respond? Case study Outcome After staying in the ICU for 8 days, C.B. is transferred to a special ventilator unit of an extended care facility because he shows no signs of improvement in the respiratory muscle strength. After several weeks he progressively regains neurologic function and is weaned from the ventilator. He is able to go home with his brother 5 months after the initial admission. Health Science Science Nursing NURSING 560 Share QuestionEmailCopy link Comments (0)