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GBS Case Study

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When it comes to treatment of GBS, a better outcome is obtained if treatment begins within the first two weeks of the onset of symptoms. It is important to understand that there is no cure for GBS, but treatment can decrease the effects and severity of the symptoms. Two treatments are typically used; and studies have shown that these are equally as effective. These are plasmapheresis treatment and intravenous immunoglobulin. Corticosteroids have been proven inefficient when it comes to the treatment of GBS. The best care consists of one of the two immunotherapies mentioned above, supportive care, and monitoring of respiratory failure. Appropriate antibiotic therapy is provided if needed, as well as pain medications, and psychological care.…show more content…
The amount of treatments administered are directly proportional to the severity of the GBS symptoms. According to Burns, in his article Guillain-Barré Syndrome the following were true: In cases with adult patients exhibiting mild symptoms, two plasmapheresis exchanges proved to be efficient. Patients with moderate and severe GBS symptoms, such as the ones unable to walk or on respiratory ventilators showed progress with four plasmapheresis exchanges. Various cases have shown that there was not a difference in outcomes when it came to providing patients with six plasmapheresis exchanges rather than four. Immunoglobulin therapy consists of providing the patient with immunoglobulin (IVIg) containing healthy antibodies intravenously. The purpose of introducing IVIg is to decrease the GBS and shorten the time the patient has the symptoms. In immunoglobulin therapy, both adults and pediatric patients are given 2g/kg total IVIg divided in a course of 2 to 5 days. According to the Quality Standards Subcommittee by the American Academy of Neurology, IVIg has similar results to those seen in the patients that underwent plasmapheresis as far as the positive outcome and their state of progression with GBS. When it comes physician determination of immunoglobulin therapy or plasmapheresis, complications for each treatment are taken into account as well as pre-existing conditions other than GBS. Plasmapheresis can bring more complications including hypertension, septicemia,
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