Nursing Care Plan for Myasthenia Gravis

Nursing Care Plan for Myasthenia Gravis

Definition of Myastenia gravis

Myastenia gravis is a disorder that affects neuromuscular transmission in muscles of the body that works under the consciousness of someone (volunteers). The characteristics that emerged in the form of excessive weakness and fatigue generally occur in the muscles of voluntary and it is influenced by cranial nerve function (Brunner and Suddarth 2002)

Myasthenia gravis is a neuromuscular disorder that affects the transmission of impulses to the voluntary muscles of the body (Sandra M. Neffina 2002).

Causes of
Myastenia gravis

The cause of this disorder is unknown, but probably occurs because of disruption or destruction of acetylcholine receptors at the crossroads neoromuskular due to an autoimmune reaction. Muscle contraction muscle damage causing weakness.

Clinical Manifestations of
Myastenia gravis
  • Extreme muscle weakness and easy fatigue
  • Diplobia (double vision)
  • Ptosis (eyelid fall)
  • Dysphonia (voice disorder)
  • The weakness of the diaphragm and intercostal muscles of progressive causes severe breathing.

Nursing Care Plan for Myasthenia Gravis

Nursing Assessment for Myasthenia Gravis
  1. Nervous system dysfunction
    • Impaired vision: diplopia and ptosis due to weakness of ocular
    • Expression on the face like a mask because of the involvement of facial muscles
    • Dysphagia due to pharyngeal and laryngeal weakness.
  2. Extreme muscle weakness and easy fatigue with repetitive activity and talking

  3. The possibility of involvement of respiration with decreased vital capacity

Nursing Diagnosis for Myasthenia Gravis
  1. Ineffective Breathing Pattern related to respiratory muscle weakness.

  2. Impaired Physical Mobility related to weakness of voluntary muscles.

  3. Risk for Aspiration related to the weakness of bulbar muscles.

  4. Self-Care Deficit related to muscle weakness, general fatigue.

  5. Imbalanced Nutrition: Less than Body Requirements related to dysphagia, intubation, or muscle paralysis.

Nursing Intervention for Myasthenia Gravis and Nursing Implementation for Myasthenia Gravis

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