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1. Myasthenia Gravis Nursing Interventions
2. Respiratory Support
-respiratory assessment frequently
-ventilatory support or BIPAP
Mobility
-appropriate rest periods
-ROM exercises
Medications:anticholinesterases
Promoting Self Care
Communication
Nursing Interventions for Acute Care/Crisis
3. Observe surgical site:
- transcervical (more common)
-transthoracic( pneumo/hemothorax) -endoscopic
Monitor respiratory status
Monitor for infection
Postop Thymectomy
4. Medications
-importance of taking meds on time
-know meds and side effects
-what meds to avoid:
antibiotics (icin, mycin, xacin)
beta blockers (“ol” drugs)
opoids
antihistamines
-keep extra supply in car/at work Patient Education
5. Precipitating factors
-Stress
-Infections
-Temperature changes (hot tubs)
-Medications
-Alcohol
-Surgery
Signs and Symptoms of Myasthenia or Cholinergic Crisis
Patient Education
6. Promoting mobility and Self Care
-schedule activities with rest periods
-use of assistive devices as needed
-support of OT/PT
-encourage independence Patient Education
7. Communication
-when weak, yes/no questions
-use of gestures
-assistive devices (notepads,pictures)
Nutrition
-smaller, frequent meals (timed around med) -high, calorie snacks Patient Education
8. Activity Intolerance r/t muscle fatigability and weakness
Disturbed Sensory Perception r/t ptosis and diplopia
Impaired Verbal Communication r/t muscle weakness Nursing Diagnosis
9. http://www.youtube.com/watch?v=-v8XNHE9vH0&NR=1 Video for Myasthnia Gravis