Pathophysiology
This autoimmune disorder causes demyelination of the central nervous system (neurons)
MULTIPLE SCLEROSIS
This dopamine precursor helps manage motor symptoms in Parkinson's disease
CARBIDOPA/LEVODOPA
The nurse notes continuous bubbling in the chamber on the chest tube with subcutaneous emphysema. The nurse immediately assesses for this preventable complication.
TUBE DISLODGEMENT
For a patient with Parkinson’s, this nursing diagnosis addresses difficulty with eating due to tremors.
IMBALANCED NUTRITION (LESS THAN)
The nurse notes continuous bubbling in the chest tube chamber and notes this complication as possibility
AIR LEAK
This disorder causes destruction of acetylcholine receptors at the neuromuscular junction
MYASTHENIA GRAVIS
IV immunoglobulin (IVIG) or plasmapheresis are treatments for severe cases of this acute neuropathy
GUILLAIN-BARRE SYNDROME
The leading cause of death in ALS patients is this complication.
RESPIRATORY FAILURE
Frequent turning, suctioning, airway monitoring and DVT prevention are critical in this disease due to progressive paralysis.
GBS
A patient develops sudden ascending paralysis and loss of reflexes after a respiratory infection. What system is the nurse going to assess as a priority to check for possible complications?
RESPIRATORY
DOUBLE JEOPARDY (x2)
This often follows a viral infection and results from destruction of peripheral nerve myelin
BACLOFEN (OR TIZANIDINE/DIAZEPAM)
A patient with Multiple Sclerosis develops immobility and urinary stasis. The nurse should monitor for this secondary complication.
UTI
A patient with a chest tube following surgery expresses anxiety about movement and deep breathing due to pain. What is the most appropriate nursing diagnosis?
INEFFECTIVE BREATHING PATTERN RELATED TO PAIN FROM CHEST TUBE
A patient develops this known phenomenon presenting with agitation and confusion in the early evening hours.
SUNDOWNING
The deficiency of dopamine-producing neurons in the substantia nigra is the hallmark of this disease
PARKINSON'S DISEASE
DOUBLE JEOPARDY (WORTH x2)
This medication improves muscle strength in Myasthenia Gravis patients by inhibiting acetylcholinesterase.
Pyridostigmine (Mestinon)
This genetic disorder can lead to severe psychiatric disturbances such as depression and suicidal ideation, often before physical symptoms appear.
HUNTINGTON'S DISEASE
A patient with Myasthenia Gravis is receiving teaching about medication schedules and energy conservation. Which nursing diagnosis best supports the care plan?
KNOWLEDGE DEFICIT or INEFFECTIVE SELF-HEALTH MANGEMENT (RELATED TO COMPLEX TREATMENT PLAN)
Advancing age, family history, and accumulation of beta-amyloid plaques are major risk factors for this progressive neurocognitive disorder.
ALZHEIMER'S DISEASE
A chronic progressive hereditary disease that results in choreiform movement and dementia
HUNTINGTON'S DISEASE
This medication slows ALS progression by reducing glutamate toxicity
RILUZOLE (RILUTEK)
Two essential interventions for patients with ALS that have anxiety about their difficulty swallowing.
SUCTION, SPEECH THERAPY, SWALLOW EVAL, ASSESSING RESPIRATORY STATUS/COUGH
A patient with Multiple Sclerosis reports extreme fatigue and difficulty completing ADLs. Which nursing diagnosis is the highest priority?
ACTIVITY INTOLERANCE (RELATED TO FATIGUE AND WEAKNESS)
A patient with Guillain-Barré syndrome is admitted to the ICU with a vital capacity of 12 mL/kg and shallow respirations. What is the next best nursing action?
PREP FOR INTUBATION/MECHANICAL VENTILATION