NUR 3019 Exam 3 review updated question and answers study guide 2023 latest

Exam 3 review updated Spinal cord injury interventions on the field  Stabilize the spine, make sure airway is patent  Stay with the patient  Do not leave  Ask for help Diagnostic tests for MG, GB, MS Multiple sclerosis:  Mri (to identify Plaques or lesions in the brain and white (round areas, which is inflammation). Lumbar puncture shows Oligoclonal bands present in the CSF fluid. Medications: baclofen, cholinergics, atropine, alpha interferon, plasma pheresis, IG g, Baclofen:  is a skeletal muscle relaxant used to decrease spasticity and improve bowel and bladder function (In Multiple sclerosis and , ALS) , Reduces contractions.  Assess muscle spasticity before and periodically Observe for drowsiness, dizziness, or ataxia  Instruct patient to change positions slowly to minimize orthostatic hypotension  Avoid alcohol or other CNS depressant or alcohol AntiCholinesterance: meds that block the enzymes that causes ACH reuptake(i.e. MG) Edrophonium, Neostigmine, and pyridostigmine Take everyday at the same time. 30 min. before meals to increase muscle strength and to prevent aspiration. Start in the AM. Monitor for cholinergic crisis Alpha interferon: such as Interferon beta-1a (Avenox)  prevents relapsing (Multiple sclerosis ) (numbing of the immune system)  It causes Flu-like symptoms and monitor for S&S on infection Plasmapheresis:  Re-transfusion of plasma. Removing the antibodies via centrifuge.  Watch out for S&S of hypovolemia IVIGG: (Immunoglobulin G) Neutralizes antibodies. This is a transfusion. To not destroy the myelin. (MS, GB) GUillian-Bare syndrome: prognosis, pathophysiology, treatments, s/s, nursing interventions  Prognosis: most people regain the strength, recovery may take up to 1-2 years. ( Depending of the regeneration of the Schwann cells)  Pathophysiology: Attack of the immune system to the myelin sheath after a viral infection such as campylobacter jejuni, cytomegalovirus, Epstein-Barr virus, Mycoplasma pneum