` ` ` ` is a rare disorder that causes your immune system to attack your peripheral nervous system (PNS) named after the French physicians Georges Guillain. Jean Alexandre Barré and André Strohl first symptom is usually weakness or a tingling feeling in your legs Most people recover (recovery can take a few weeks to a few years) .

` ` ` ` acute inflammatory demyelinating polyradiculoneuropathy (AIDP) acute motor axonal neuropathy (AMAN) acute motor and sensory axonal neuropathy (AMSAN) Miller Fisher syndrome (MFS) .

` Depiction of GBS subtypes and their relationships according to type of neuropathy within the GBS classification. .

Autoimmune disorder with a trigger that is unkown  Viral  AIDS Herpes Simplex Mononucleosis Epstein-Barr virus Bacterial Campylobacter jejuni Mycoplasma pneumoniae Haemophilus influenzae .

Neuromuscular junction (not known to be involved with GBS) . Schwann cell myelin surface proteins can be the target of antibody binding in AIDP.` a) b) c) d) Locations of GBS peripheral nerve attack in peripheral nervous system. Dorsal root ganglia can be the target of an antibody response in MFS. Nodes of Ravier are a target of immune response in AMAN.

and head. ‡Cramp pains . ‡ Low oxygen saturation ‡ facial weakness mimicking Bell palsy ‡ weakness are invariably hyporeflexic or areflexic in the involved areas. hypertension or hypotension.Signs and Symptoms Vital Signs ‡ tachycardia or bradycardia. or hyperthermia or hypothermia. ‡ Poor inspiratory effort or diminished breath sounds Cranial nerves Dysreflexia Motor ‡ Symmetric limb weakness typically begins as proximal lower extremity weakness and ascends to involve the upper extremities. especially when ophthalmoparesis or impaired proprioception is present. ‡ Inability to stand or walk despite reasonable strength. trunkal muscles. ‡ Hypotonia ‡ Wasting of limb muscles is not an acute finding.

apnea. dyspnea ` Additional symptoms may include: * Blurred vision * Clumsiness and falling * Difficulty moving face muscles * Muscle contractions * Palpitations (sensation of feeling heartbeat) . tingling. paresthesias. ‡ Suprapubic tenderness or fullness may be suggestive of urinary retention. and pain. numbness.Abdominal ‡ Paucity or absence of bowel sounds suggests paralytic ileus. fainting Sensory Respiratory * Shortness of breath. impaired proprioception.

` Medical Management Intubation Plasmapheresis Immunoglobulins via IV Physiotherapy .

Perform passive range of motion exercises within the patient¶s pain limits.` Turn and reposition the patient. and encourage coughing and deep breathing. Give meticulous skin care to prevent skin-breakdown and contractures. establish an emergency airway with an endotracheal tube. ` ` ` . If respiratory failure becomes imminent.

apply anti-embolism stockings or compression boots and give prophylactic anticoagulants as ordered.` To prevent aspiration. give eye and mouth care every 4 hours. Offer bed pan every 3 to 4 hours to monitor intake and output regularly. To prevent thrombophlebitis. If the patient has facial paralysis. test the gag reflex and elevate the head of the bed before giving the patient anything to eat. ` ` ` .

or listening to the radio. family visits. Provide diversions for the patient. such as televisions. ` ` ` . offer prune juice and high bulk diet. Administer medications as ordered. Analgesics may be prescribed to relieve muscle stiffness and spasm. Provide emotional support to the patient and his family.` To prevent or relieve constipation.

com/nursing-care-plan/nursinginterventions/nursing-interventions-for-guillain-barresyndrome.html http://www.mayoclinic.` http://nursingfile.com/health/guillain-barresyndrome/DS00413/DSECTION=complications ` ` .com/category/guillain-barre-syndrome http://www.ami20.

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