An auto-immune attack of the peripheral nerve myelin Acute, rapid segmental demyelination of peripheral nerves and some cranial

nerve s POTENTIALLY FATAL! CAUSE: post-infectious polyneuritis of unknown origin commonly follows viral inf ection Because this syndrome causes inflammation and degenerative changes in the poster ior and anterior nerve roots, MOTOR and SENSORY losses occur SIMULTANEOUSLY! CLINICAL MANIFESTATIONS 1. Ascending weakness and paralysis: Leg affected first 2. diminished reflexes of the lower extremities 3. paresthesia 4. potential respiratory failure LABORATORY EXAMINATION CSF protein level is INCREASED but the WBC remains normal in the CSF EMG and nerve conduction velocity studies NURSING INTERVENTIONS Maintain respiratory function Chest physiotherapy and incentive spirometry Mechanical ventilator NURSING INTERVENTIONS 2. Enhance physical mobility Support paralyzed extremities Provide passive range of motion exercise Prevent DVT and pulmonary embolism Padding over bony prominences NURSING INTERVENTIONS 3. Provide adequate nutrition IVF Parenteral nutrition Assess frequently return of gag reflex NURSING INTERVENTIONS 4. Improve communication Use other means of communication NURSING INTERVENTIONS 5. Decrease fear and anxiety Provide Referrals Answer questions Provide diversional activities 6. Monitor and manage complications DVT, Urinary retention, pulmonary embolism, respiratory failure MEDICAL MANAGEMENT ICU admission Mechanical Ventilation TPN and IVF PLASMAPHERESIS IV IMMUNOGLOBULIN- for protection