Nurs 342 Neurologic Disorders Case Studies Latest Update 2021

Neurologic Disorders Case Studies Case Study 62 Guillain-Barré Syndrome Difficulty: Beginning Setting: Long-term acute care hospital Index Words: Guillain-Barré syndrome (GBS), risk factors, assessment, and crisis management, mechanical Ventilation Scenario C.B. is a 58-year-old man with Guillain-Barré syndrome (GBS). He was transferred to a skilled nursing facility that cares for patients requiring mechanical ventilation 2 days ago. C.B. is a single, self-supporting man from a small town. He came to see his family physician in early January with symptoms of fatigue, myalgia, fever, and chills, which were accompanied by a hacking cough. He was diagnosed with viral influenza. Three weeks later he developed bilateral weakness, numbness, and tingling of his lower extremities, which rapidly progressed into his upper body. He was brought to the emergency department (ED) after his brother recognized the seriousness of his condition. Shortly after arrival he became totally paralyzed and required endotracheal intubation and mechanical ventilation. He was then admitted to the neurology critical care unit, where he spent 1 month. He underwent a tracheotomy before being transferred to a medical floor, where he spent several weeks. He was treated for pneumonia while hospitalized on the medical floor. His pneumonia resolved before transfer to a skilled care facility for further rehabilitation and continued ventilatory support.