what is MS? - -Multiple Sclerosis 10. Food/Fluid
Immune mediated, progressive demyelinating 11. National MS groups
disease of the CNS 12. Administration of medications
-Damage to myelin
-Damage to axon
what does Medications do to MS? - -
Patho Complex Treatment
-Sensitized T & B lymphocytes cross BBB Treatment based on phase, sign and symptom,
Start inflammatory process patient tolerance...
CAUSE??? Drugs used to decrease inflammation in CNS and
sign and symptom
just the treat the sign and symptom only
what are clinical manifestation for MS? - -
1. Fatigue/Weakness
2. Ataxia and vertigo what are those medications for MS? - -1.
3. Tremors/spasiticity of LE Glucocorditcoids
4. Parasthesias • IV methylprednisolone
5. Blurred vision/diplopia 2. Muscle Relaxants
6. Nystagmus • Diazepam (Valium), Baclofen (Lioresal),
7. Dysphasia Carisoprodol (Soma)...
8. Bowel/Bladder disturbances 3. Immunomodulators
9. Abnormal reflexes • Interferons: SE = flu like symptoms
10. Emotional changes (Depression) - IFN-B1b (Betaseron)
- IFN-B1a (Rebif)
• Non-interferon
what are nursing diagnoses for MS? - - - Glatiramer acetate (Capaxone)
Impaired Physical Mobility
Sexual Dysfunction
Impaired Elimination Pattern Description for multiple sclerosis - -
Interrupted Family Processes Demyelinating disease resulting in the
destruction of CNS myelin and consequent
disruption in the transmission of nerve impulses
what are Nursing Interventions for MS? 1-6 -
-1. Protect from injury/safety measures
2. Eye patch for diplopia what about the onset for multiple sclerosis? -
3. Monitor for complications -Onset is insidious, with 50% of clients still
4. Regular elimination ambulatory 25 years after diagnosis.
5. Encourage independence
6. Regular exercise/rest program
how do nurse diagnosis for multiple sclerosis? -
-Diagnosis determined by a combination of
what are Nursing Interventions for MS? 7-12 - data:
-7. Need for assistive devices 1. Presenting symptoms
8. PT/OT 2. Increased white matter density seen on CT
9. Avoid fatigue, stress, infection, overheating, scan
chilling 3. Presence of plaques seen on MRI
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