MYASTHENIA GRAVIS
Characterized by weakness and rapid fatigue of any of the muscles
under your voluntary control. .
CAUSE
breakdown in the normal communication between
.
nerves and muscles.
There is no cure for myasthenia gravis, but
treatment can help relieve signs and
symptoms
Nursing Management
Medication management neuromuscular junctio
·
Pyridostigmine - Ach in
inhibit immone system
·
corticosteroids -
Alter immure system
Immunosuppressant
-
·
Risk of infection
-
- for bradycardia
·
Atropine Heart rate ,
diagnosis
· Tensilon (Edrophonium - for
of
- muscle stimulation Myasthenia
Gravis
-
improve strength
Muscle Spasm
-
over use /muscle fatigue
Drug Management
-
* Direct Acting Skeletal
Muscle Relaxant
antiolence prevents
·
-
muscle from
Children
· should
close contracting
be calculated by body weight
dowsiness
with caution / can cause
·
Adults -
and confusion
Drugs for Parkinsonism
drug of Choice
Levodopa-
-
·
replacement therapy
antiviral dug
Amantadine
-
·
↑ release ofdopamine
binds to post
·
Apomorphine- Synaptic dopamine
receptor
Interactions :
Stop MANI duas before
starting dopaminergic
therapy
·
Pyridoxine/By Phenytoin
↓ levodopa therapy
· OTC Vitamins
Interventions
Nursing signs & Symptoms
·
Always Evaluate
meals to minimize Gl effects
Give dug with
·
Bowel movements
· Monitor
Monitor Liver & Kichey function
"
Provide
·
safety measure
compliance
·
Ensure dog
Anti Cholinergic Agents
Example : Benztropine
Therapeutic Action
&
Reduces dooling secondary
-
Effects of Parkinsonism
·
Adjunct therapy for
Parkinsonism
that take longer to
·
For patients levodopa
respond t
Alzheimer's Disease
·
Drugs
-
Donpezil
- Galantamine
-
memantine
Nursing Interventions
Orient the Patient
·
Positive feedback
Explain Simply
·
close observation