GBS Disease A 45-year-old female received a flu vaccine. Approximately

GBS Disease A 45-year-old female received a flu vaccine. Approximately one week after her vaccination, she began to experience the sudden onset of numbness and tingling in her hands, arms, feet, and tongue. Her husband took her to the ED, and she was being admitted for neurologic evaluation and testing. Her symptoms progressed to include progressive loss of reflexes, generalized weakness and fatigue. She was diagnosed with _______________________________________? 1) Please give your class a brief pathophysiology for this condition. 2) List several etiology/causes that could be associated with this diagnosis. 3) What are the clinical manifestations or S/S of this disease? 4) What are the procedures, labs, or X-rays/CT suggested to confirm the diagnosis? 5) What are the treatments for this condition? 6) What are the nursing priorities when caring for patients with this diagnosis? 7) Are there any important nursing instructions you would like to give to your patient and family upon discharge? MG Disease JB is a 64-year-old male who is admitted to Med/Surg floor for plasmapheresis. Before this admission, he had been relatively healthy. Medical Hx: HTN, Glaucoma, and bronchitis. About a year ago, JB started experiencing difficulty chewing and swallowing, diplopia, and slurring of speech, at which time he was placed on Methotrexate. Based on this information, what do you think JBs diagnosed could be ________________________________________? 1) Present to your class a brief pathophysiology for this condition. 2) List the etiology associated with this diagnosis. 3) What are the clinical manifestations or S/S of this disease? 4) What are the procedures, labs, or X-rays/CT suggested to confirm the diagnosis? 5) What are the treatments for this condition? 6) What are the nursing priorities when caring for patients with this diagnosis? 7) Are there any important nursing instructions for patient and family upon discharge? 8) What is Cholinergic vs Myasthenic Crisis? 9) Explain what Tensilon test is (positive vs negative result) and give 3 most crucial interventions nurses must do when assist with this test. PD Disease Timothy King is a 55-year-old man who came to see his family doctor today for unusual sleep problems. He reports that he has difficulty moving and has been very stiff lately. While he was talking, his hands shook uncontrollably. Upon a physical assessment, his doctor notices that Tim also has a very poor balance. What do you think Tim is experiencing ____________________? 1) Give a brief pathophysiology for this condition. 2) List the etiology associated with this diagnosis. 3) What are the clinical manifestations or S/S of this disease? 4) What are the procedures, labs, or X-rays/CT suggested to confirm the diagnosis? 5) What are the treatments for this condition? 6) What are the nursing priorities when caring for patients with this diagnosis? 7) Are there any important nursing instructions for patient and family upon discharge? Ex: med administration time/frequency, activities performance, and/or how to manage the condition successfully? Stroke A 48-year-old female with past medical history of DM and HTN who presented to the ED with sudden left sided weakness and imbalance followed by decreased level of consciousness. Head CT showed no hemorrhage and no acute ischemic changes. NIH was 23. She was taken for CT angiography which illustrated a mid-basilar occlusion. She received Alteplase intravenous tPA and NIH was 10 after one hour of receiving tPA. She then underwent mechanical thrombectomy with successful revascularization. 1) What is NIH and what does score of 23 mean for this patient? 2) What are the most crucial nursing interventions when caring for this patient who received tPA or TNK? The next day when caring for this patient, before administering her Atenolol you obtained her V/S and notice that her BP was 192/102. She suddenly tells you that she does not feel well, and she is slurring with words. What might this patient be experiencing_______________________? 1) Give at least 5 immediate nursing intervention and rationale of each decision. 2) If this patient has an intraventricular catheter, what is it and list the 5 most crucial nursing interventions when taking care of patient with intraventricular catheter. Pancreatitis AB is a 32-year-old female presenting to the ED after spending a weekend drinking with friends, c/o new-onset abdominal intense burning pain for 2 days. The pain was episodic at first but became constant. It was localized to the epi-gastric area, dull, achy, not related to activity, no-radiating, and rate 7/10. The pain is worse with movement and was relieved by sitting. Medical history: HLD, social drinker, ½ pack cigarettes/day. 1) What do you think AB is experiencing? 2) What labs are you anticipating the MD will order to confirm the diagnosis, and what does it mean when it increases vs decreases? 3) What are the 5 most important drugs you want to make sure that the physician will order for AB and why? 4) Name 2 most priority NANDA for AB at this time. 5) What are the 5 most important nursing interventions that need to be included in AB plan of care? (BGM). 6) Name 3 complications that are associated with this diagnosis (Cullen/Grey signs-what would you do? , DM, Pancreatic CA/ Whipple-how do you care for this pt postop?). 7) Share 3 crucial discharge instructions you would like to give to AB before discharge and the reason for each.(PERT, AA, etc.). Cirrhosis, liver failure John Smith is a 45-year-old male who presents to the ED with abdominal pain and worsening of nausea and vomiting in the past 3 days that have not resolved. He reports feeling fatigue and has had a poor appetite the past month. He denies any ETOH intake the past week but admits to episodic binge drinking on most weekends. John weighs 141 lbs and 6″1′ tall. Personal/Social Hx: John is single, has never married, and lives alone in his own apartment. He has struggled with heroin use/abuse in the past but has not used it in the past 2 years. John is currently unemployed and has no health insurance. He was diagnosed with hepatitis C ten years ago but has had minimal follow-up medical care since. 1) What do you think John is experiencing? 2) What labs and diagnostics that can be done to confirm his S/S? 3) You are performing a PA on John and notice he presents with ascites, asterixis, fetor hepaticus and spider angiomas. What are these? 4) What medications are you anticipate administering while caring for John? 5) Name 5 complications that related to this diagnosis. 6) What diets are crucial in teaching John to prevent complications? 7) Since John’s medical Hx included Hepatitis C, and if it is in the active phrase, what s/s would you anticipate seeing in John when performing a PA?

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