nursinng findings to report with a patient with guillain barre syndrome

by Prof. Colt Thiel 4 min read

Guillain Barre Syndrome (Nursing) - StatPearls - NCBI Bookshelf

28 hours ago  · Guillain Barre Syndrome (Nursing) - StatPearls - NCBI Bookshelf. Guillain-Barre syndrome (GBS) is the most common cause of acute, flaccid, neuromuscular paralysis in the United States. Guillain-Barre syndrome was first discovered more than a century ago. Advances in the past century include investigating the immune-mediated pathophysiology of the disease, … >> Go To The Portal


The nurse should immediately report this to the MD because the patient may need mechanical ventilation. Absent reflexes is common in GBS and paresthesia can extend to the upper extremities as the syndrome progresses. A headache is not common.

What are the treatment options for Guillain-Barre syndrome?

Treatment Options and Prevention

  • Intravenous immunoglobin (IVIG) therapy. This therapy involves administering a collection of antibodies collected from healthy donors. ...
  • Plasma exchange therapy. A component of your blood is removed and replaced with donor blood components. ...
  • Cardiovascular and respiratory support. ...
  • Pain medications. ...
  • Rehabilitation. ...
  • Prognosis. ...

What are the most common symptoms of Guillain-Barre syndrome?

Symptoms that can generally be seen in Guillain-Barre syndrome include:

  • Muscle weakness: This weakness usually starts in the legs and classically progresses up the body, but in some cases can start in the arms or face. ...
  • Numbness or tingling: This usually affects the hands or feet [1].
  • Decreased or loss of reflexes in the arms or legs: This may be noticed when your physician examines you with a reflex hammer.

Are there alternative treatments for Guillain-Barre syndrome?

Natural Cures For Guillain-Barre Syndrome

  • Ashwagandha Herb. Ashwagandha herb is a great remedy to treat the condition that it has been used for medicinal purpose since ancient times.
  • Bhringraj Herb. ...
  • Medicinal Benefits Of Basil Leaves. ...
  • Dry Rhizome Of Atractylodis. ...
  • Cinnamon Tea. ...
  • Radix Codonopsis Pilosulae. ...

What is the Guillain Barre syndrome 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.

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What are the nursing consideration for GBS?

During the course of GBS, the nurse will need to assess and monitor the patient for respiratory infections including pneumonia. The nurse will need to assess for problems associated with immobility related to muscle weakness and paralysis.

What do you monitor in Guillain-Barré syndrome?

The respiratory status of patients with GBS must therefore be carefully and frequently monitored. Pulse oximetry and blood gases are inadequate for early detection of failure because hypoxemia and hypercarbia are very late manifestations.

What is the typical presentation of symptoms in a person with Guillain-Barré syndrome?

The first symptoms of Guillain-Barré syndrome include weakness or tingling sensations. They usually start in the legs, and can spread to the arms and face. For some people, these symptoms can lead to paralysis of the legs, arms, or muscles in the face.

Which of the following clinical features is most commonly seen in Guillain-Barré syndrome?

Guillain-Barre syndrome often begins with tingling and weakness starting in your feet and legs and spreading to your upper body and arms. In about 10% of people with the disorder, symptoms begin in the arms or face. As Guillain-Barre syndrome progresses, muscle weakness can evolve into paralysis.

How does GBS affect breathing?

Respiratory compromise in GBS is linked to many factors. Upper airway compromise and weakness of pharyngeal and laryngeal muscles lead to difficulty in clearing of secretions and airway maintenance, thereby also increasing the chances of aspiration.

What type of respiratory failure is caused by Guillain-Barre?

Progressive weakness of both the inspiratory and the expiratory muscles is the mechanism leading to respiratory failure. Aspiration pneumonia and atelectasis are common consequences of the bulbar muscle weakness and ineffective cough.

Which assessment data should the nurse assess in the client diagnosed with Guillain-Barré syndrome?

GBS can lead to a decrease in gastric motility and paralytic ileus. Therefore, before starting a scheduled feeding the nurse should always assess for bowel sounds and check gastric residual.

Which cranial nerves should the nurse assess in a client diagnosed with Guillain-Barré syndrome?

Guillian Barre Syndrome (GBS) is associated with cranial nerve involvement. Commonest cranial nerves involved were the facial and bulbar (IXth and Xth). Involvement of twelfth cranial nerve is rare in GBS.

How do you diagnose Guillain-Barré syndrome?

The clinical diagnosis of GBS needs to be confirmed by cerebrospinal fluid analysis and nerve conduction studies. Lumbar puncture is indicated in every case of suspected GBS.

What is the pathophysiology of Guillain-Barré syndrome?

GBS typically occurs after an infectious disease in which the immune response generates antibodies that crossreact with gangliosides at nerve membranes. This autoimmune response results in nerve damage or functional blockade of nerve conduction.

Nursing Care Plans

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Nursing care planning goals for a pediatric client with Guillain-Barre syndrome include improved respiratory function, promotion of physical mobility, prevention of contractures, decreased anxiety and pain, relief of urinary retention, improvement of parental care and prevention of complications. Here are six (6) n…
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Recommended Resources

  • Recommended nursing diagnosis and nursing care plan books and resources. Disclosure: Included below are affiliate links from Amazon at no additional cost from you. We may earn a small commission from your purchase. For more information, check out our privacy policy. 1. Nursing Care Plans: Nursing Diagnosis and Intervention (10th Edition) An awesome book to hel…
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See Also

  • Other recommended site resources for this nursing care plan: 1. Nursing Care Plans (NCP): Ultimate Guide and Database Over 150+ nursing care plans for different diseases and conditions. Includes our easy-to-follow guide on how to create nursing care plans from scratch. 2. Nursing Diagnosis Guide and List: All You Need to Know to Master Diagnosing Our comprehensive guid…
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References and Sources

  • Recommended references and sources for this fracturenursing care plans: 1. Auer, R., & Riehl, J. (2017). The incidence of deep vein thrombosis and pulmonary embolism after fracture of the tibia: an analysis of the National Trauma Databank. Journal of clinical orthopaedics and trauma, 8(1), 38-44. 2. Biz, C., Fantoni, I., Crepaldi, N., Zonta, F., Buffon, L., Corradin, M., … & Ruggi…
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