重症肌无力病人的护理.pptVIP

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2017-09-10 发布于广东
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重症肌无力病人的护理.ppt

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Nursing care of patients with Myasthenia Gravis Students：English nursing class of 2013 Time ：20 min Teacher： ptosis dyspnea On a respirator What happened to them？ Contents Definition Clinical Manifestations Nursing Measures Definition NMJ Myasthenia Gravis(MG) is?mediated?by? and this? is obstructed in the?NMJ? which?comprise of?the cell? immune dependence?and?complement. AChR-Ab Nerve - neuromuscular synapse structure diagram Clinical manifestations A.First symptoms Extraocular muscle weakness ptosis Strabismus diplopia Eye movement disorder Clinical Manifestations The?lesion?has?gradually?affected the?muscle?group?of?other?cranial?nerves,? which?causes?the?affected?muscle?to?appe- ar?pathological?changes. B.General Symptoms Clinical Manifestations Weakness choke Dysphagia Morning mild evening severe”, the volatile changes are typical clinical manifestations of MG. Three types Myasthenic Crisis Anti bend Crisis Cholinergic Crisis Dyspnea, cough Weakness, Cyanosis Fasciculations Muscarinic reaction Insensitive against Cholinesterase Drugs C.MG Crisis Common cause of death of MG Clinical Manifestations Nursing Measures 3. assisted living 2. Diet guide 1. rest and activity A.Life Nursing Nursing Measures Sitting Position ? Nursing Measures B. Observation?patients?condition?closely? breathe cyanosis bellyache pupil secretion cough powerless 四 Nursing measures Notify the doctor immediately, cooperate with emergency treatment. Keep?respiratory?tract?unobstructed,? oxygen. Resection of trachea or Use breathing machine help to breathe. C.Potential Complications: MG Crisis. Nursing Measures Drum gills D. Rehabilitation Licking tongue Blowing smoke training Nursing Measures D.Rehabilitation Physical rehabilitation Nursing Measures