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Guillain Barre Syndrome: Estrada, Rachelle Biaro College of Nursing NCM 116, 2 SY 2020-2021
Guillain Barre Syndrome: Estrada, Rachelle Biaro College of Nursing NCM 116, 2 SY 2020-2021
SYNDROME
SYMPTOMS
Unexplained sensations often occur first, such as tingling in the feet or hands, or
even pain (especially in children), often starting in the legs or back (Ninds.nih., 2020). In
about 10% of people with the disorder, symptoms begin in the arms or face
(Mayoclinic.org., 2021). Most people reach the greatest stage of weakness within the
first two weeks after symptoms appear; by the third week 90 percent of affected
individuals are at their weakest (Ninds.nih., 2020). Signs and symptoms of Guillain-
Barre syndrome may include: Prickling, pins and needles sensations in your fingers,
toes, ankles, or wrists, weakness in your legs that spreads to your upper body,
unsteady walking or inability to walk or climb stairs, difficulty with facial movements,
including speaking, chewing or swallowing, double vision or inability to move eyes,
severe pain that may feel achy, shooting or cramp like and may be worse at night,
difficulty with bladder control or bowel function, rapid heart rate, low or high blood
pressure and difficulty breathing (Mayoclinic.org., 2021). These symptoms can increase
in intensity over a period of hours, days, or weeks until certain muscles cannot be used
at all and, when severe, the person is almost totally paralyzed (Ninds.nih., 2020).
CAUSES
RISK FACTORS
COMPLICATIONS
PROGNOSIS
There's no known cure for Guillain-Barre syndrome, but several treatments can
ease symptoms and reduce the duration of the illness. Although most people recover
from Guillain-Barre syndrome, the mortality rate is 4% to 7%. Between 60-80% of
people are able to walk at six months (Beaconhealthsystem, 2020).
PREVENTION
Doctors and scientists have not yet determined how to prevent Guillain-Barré
syndrome. Since Guillain-Barré syndrome is not a disease itself, and it is not known
exactly how it occurs, it is difficult to say how GBS could be prevented. Scientists are
concentrating on finding new treatments and refining existing ones. Scientists are also
looking at the workings of the immune system to find which cells are responsible for
beginning and carrying out the attack on the nervous system (OutBreak, Inc., 2020).
DIAGNOSIS
TREATMENT
There's no cure for Guillain-Barre syndrome. But two types of treatments can
speed recovery and reduce the severity of the illness: plasma exchange
(plasmapheresis) and immunoglobulin (Mayoclinic.org. 2021). Use of steroids is not
indicated. Unfavorable prognosis correlates with older age, rapid onset of severe
tetraparesis, early need for ventilator support, less than 20 percent compound muscle
action potential (Olshansky, A., 2008). The goal of treatment is to lessen the severity of
the immune attack and support your body functions, such as lung function, while your
nervous system recovers (Cafasso, J., 2019). People with Guillain-Barre syndrome
need physical help and therapy before and during recovery (Mayoclinic.org. 2021).
REFLECTION
CONCLUSION
GBS was seen in all age groups with slight female predominance. The majority
of the patients had an antecedent history of respiratory tract infection and surgery. The
common symptoms were ascending paralysis, sensory symptoms, and dysphagia. The
in-hospital mortality rate of patients with GBS was 6.45%. The majority of the patients
with GBS had a good functional outcome.
REFERENCES (APA FORMAT)