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Lesson Plan On GBS
Lesson Plan On GBS
GUILLAIN BARRE
SYNDROME
Unit :
Number of students :
Date :
Time :
Duration : 45 min
Venue :
GENERAL OBJECTIVES:-
After completion of this class the students will be able to understand about
nursing management of Guillain Barre syndrome
SPECIFIC OBJECTIVES:-
3 Explain
Min Pathophy
To siology
PATHOPHISIOLOGY
explain of
Pathophy • Guillain-Barré is the result of a cell-mediated immune attack on Guillain-
siology Barré
peripheral nerve myelin proteins. The best-accepted theory is
of syndrom
Guillain- that an infectious organism contains an amino acid that mimics e
Barré the peripheral nerve myelin protein. The immune system cannot
syndrom
e distinguish between the two proteins and attacks nerve myelin
causing inflammation and destruction and the axon is left unable
to support nerve conduction.
Tim Specific CONTENT Teachin Learnin AV. Evaluati
e objective g g AID on
s activity activity S
5 Identify CLINICAL MANIFESTATION Lecture Listenin LCD
Min the g
clinical • Initially muscle weakness and diminished reflexes of the lower
manifest extremities.
ation of
GBS • Neuromuscular respiratory failure.
7
Min Explain MEDICAL MANAGEMENT
the
medical
manage • This syndrome presents a medical emergency in view of rapid
ment of
GBS progression and neuromuscular respiratory failure, requiring
ICU admission.
• Mechanical ventilation may be necessary to support pulmonary
function and adequate oxygenation, and may be required for an
extended period.
Tim Specific CONTENT Teachin Learnin AV. Evaluati
e objective g g AID on
s activity activity S
• Weaning from mechanical ventilation occurs when the Lecture listening LCD
respiratory muscles can again support spontaneous respiration
and maintain adequate tissue oxygenation.
• Anticoagulant agents and thigh-high elastic compression
stockings or sequential compression are used to prevent
complications.
• Plasmapheresis and intravenous immunoglobulin (IVIG) are
used to directly affect the peripheral nerve myelin antibody
level. Both therapies decrease circulating antibody levels and
reduce the amount of time the patient is immobilized and
dependent on mechanical ventilation.
The cardiovascular risks of tachycardia and hypertension are treated Explain
10 Discuss with alpha-adrenergic blocking agents (Doxazosin, Prazosin, Terazosin, nurses
Min in detail Tamsulosin, Alfuzosin). Hypotension is managed by increasing the role in
about amount of IV fluid administered caring
nursing for a
manage Nursing Management of Patient With child
ment of Guillain-Barre Syndrome with
GBS GBS
• Assessment
– Ongoing assessment for disease progression is critical.
The patient is monitored for life-threatening
complications (respiratory failure, cardiac
dysrrhythmias, DVTs) so that appropriate interventions
can be initiated.
• Nursing diagnoses
– Ineffective breathing pattern and impaired gas exchange
related to rapidly progressive weakness and impending
respiratory failure.
Tim Specific CONTENT Teachin Learnin AV. Evaluati
e objective g g AID on
s activity activity S
• Impaired physical mobility related to paralysis.
CONCLUSION :-
Full recovery is mostly achieved with restoration of full functions
but it may need 6 months to 2 years time. Fatal outcome may occur in
case of respiratory paralysis GB syndrome which may have some
residual disability & handicaps
BIBLIOGRAPHY :-
ASSIGNMENT :-
Define the GB syndrome
Enlist the etiology & clinical manifestation of GB syndrome