- Residual numbness
- Heart and blood pressure problems
- Breathing difficulties
- Bowel and bladder function problems
- Blood clots
- Pressure sores
It is important for the patient to notify their doctor of the following experiences:
- Tingling or weakness that spreads
- Breathing is difficult for the patient
- Choked by own saliva
- Tingling sensations that start in the patient’s toes or feet that and move up the body
Cerebrospinal Fluid Analysis can help with the diagnosis of Guillain-Barré syndrome. The doctor will take the spinal fluid sample from the patient using a spinal tap procedure. The patient may feel a little pressure on the back while the patient is in a side-lying position.
It is advised that the patient remains in the side-lying position. Two hours of staying in a side-lying position can help prevent headaches after the procedure.
- Acute care
- Plasma exchange (plasmapheresis)
- High dose immunoglobulin therapy: These therapies are only effective within two weeks after the onset of GBS syndrome. Yet, studies have shown that there is no proven benefit of this therapy
- Supportive care
- Rehabilitative care
7. Nursing Interventions
- Check for changes in the breathing pattern such as the frequency, symmetry, and depth of breathing. Look for changes in skin color, capillary refill, and skin temperature.
- Look for respiratory fatigue signs, characterized by shortness of breath, impaired cough, and decreased attention span.
- Listen to lung sounds for any changes and notify the physician immediately.
- Track oxygen saturation of the patient. This test is used to check the patient’s oxygen level in the body.
- Adjust the bed between 35 degrees to 45 degrees to increase the expansion of the lungs. This will assist the patient with proper breathing.
- Educate the patient about the benefits of chest physiotherapy. This includes deep breathing exercises and chest percussion among others. Perform as advised.
- Suction secretions.
- Check laboratory values such as serum albumin and total protein counts.
- Educate the patient about the importance of maintaining a healthy diet.