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Asked by khaldslam528
Case study
J.B. is a 58-year-old retired postal worker who has been on your floor for several days receiving plasmapheresis
every other day for myasthenia gravis (MG). About a year ago, J.B. started experiencing difficulty
chewing and swallowing, diplopia, and slurring of speech, at which time he was placed on pyridostigmine
(Mestinon). Before this admission, he had been relatively stable. His medical history includes hypertension
(HTN) controlled with metoprolol (Lopressor) and glaucoma treated with timolol (ophthalmic
preparation). Recently, J.B. was diagnosed with a sinus infection and treated with ciprofloxacin (Cipro). On
admission, J.B. was unable to bear any weight or take fluids through a straw. There have been periods of
exacerbation and remission since admission. Vital signs
Blood pressure 170/68 mm Hg. /Heart rate 108 beats/min
Respiratory rate 24 breaths/min./Temperature 101.8° F (38.8° C
1. You note that the nursing assistive personnel has just entered these vital signs into J.B.’s
record. What is your priority action at this time?
2. You are visiting with J.B.’s wife, who tells you she doesn’t have a lot of information about MG
and she would like to know more about it so that she will feel more comfortable talking to her husband. What should you tell her?
3. mention the sign and symptom of myasthenia gravis.
4. J.B.’s wife asks, “How do they know that my husband has myasthenia gravis?” What should you tell her? about myasthenia gravis is diagnosed?
5.Mention the most complication of myasthenia gravis ?
6. What is the nursing intervention for patient with myasthenia gravis ?
7. What treatment do you anticipate for J.B.?
SCIENCE
HEALTH SCIENCE
NURSING
