peripheral nervous diseases-GBS CIDP 2.ppt

Spinal nerve diseases Mononeuropathy Branchial neuralgia Mononeuropathy multiplex Polyneuropathy\peripheral polyneuritis Acute inflammatory demyelinating polyneuropathy\ GBS Chronic inflammatory dymyelinating polyneuropathy\CIDP ②Hypertension– low-dose β blockers Hypotension-- Capacity Expansion adjust posture ①Severe cases-- Continuous ECG monitoring Sinus tachycardia (common): no need to treat Serious cardiac conduction block sinus arrest (less): implant temporary pacemaker 3. Symptomatic treatment prevention TREATMENT ④ Use of broad-spectrum antibiotic– prevent/ treat hypostatic pneumonia sepsis ③ Wear long stretch hose– to prevent deep venous thrombosis (DVT) Low-dose heparin– prevent pulmonary embolism (PTE) 3. symptomatic treatment prevention TREATMENT ⑤ keep tidy sheet often turn over– prevent bedsore do good nursing care turning back time shot aerosol inhalation sputum aspiration keep airway open prevent infection included complication ⑥ Rehibilitation ASAP Extremities movement actively passively – prevent contracture Plywood use– prevent drop foot Acupuncture\massage\physical treatmentgait training 3. symptomatic treatment prevention TREATMENT ⑧ Urine retention– pressure massage of lower abdomen retention catheterization Constipation-- senna leaf clyster ⑦ Dysphagia-- take nasal feeding in sitting– prevent choke or asphyxia 3. symptomatic treatment prevention TREATMENT ⑩ Recognize\ treat anxiety depression disorder ASAP Fluoxetine 20mg, qd, p.o ⑨ Pain -- Pain reliever Try carbamazepine amitriptyline 3. symptomatic treatment prevention TREATMENT Self-limited, monophase course Recover in weeks months 70%~75% of patients expect full recovery 25% leave mild neurological functional deficits 5% die, often of respiratory failure Bad prognosis if with CJ infection Bad prognosis in aged\rapid onset\assistant ventilation PROGNOSIS Chronic inflammator