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All You Need To Know About Myasthenia Gravis by favourRN(m): 10:50pm On May 12, 2023
Myasthenia gravis is a condition that affects the way your muscles work. It happens because your immune system, which is supposed to help your body fight off germs, attacks the muscles in your body instead.

There are two types of myasthenia gravis: ocular and generalized. Ocular MG only affects the muscles that control your eyes, while generalized MG can affect all the muscles in your body.

The signs and symptoms of myasthenia gravis depend on which muscles are affected. Some common signs and symptoms include:

- Muscle weakness, especially in the arms, legs, and face
- Trouble chewing, swallowing, or speaking
- Drooping eyelids
- Double vision
- Difficulty breathing

To diagnose myasthenia gravis, doctors might do a physical exam, blood tests, or special tests like an electromyogram (EMG) or a nerve conduction study (NCS).

Treatments for myasthenia gravis can include medications to help improve muscle strength, surgery to remove the thymus gland (which can help in some cases), and therapies to help manage symptoms.

Some medications that might be used to treat myasthenia gravis include:

- Acetylcholinesterase inhibitors (like pyridostigmine) which help improve muscle strength
- Immunosuppressive drugs (like prednisone or azathioprine) which can help reduce inflammation and improve symptoms

Nursing interventions for myasthenia gravis might include:

- Monitoring for signs of respiratory distress
- Assessing and managing the patient's ability to eat, drink, and swallow safely
- Administering medications as ordered and monitoring for side effects
- Educating the patient and family about the condition and how to manage symptoms at home

The first nursing priority for myasthenia gravis would be to assess for respiratory distress and intervene as necessary. This could include providing supplemental oxygen, assisting with breathing treatments, or calling for emergency assistance if needed.

The first nursing priority for fluid and electrolyte imbalances would be to assess and monitor the patient's fluid and electrolyte status, and intervene as necessary. This could include administering fluids or electrolytes, monitoring intake and output, or adjusting medications as needed.

Risk factors for myasthenia gravis include being female, having a family history of the condition, and having other autoimmune conditions.

Complications of myasthenia gravis can include respiratory failure, aspiration pneumonia (from food or liquid going into the lungs), and myasthenic crisis (a sudden worsening of symptoms that requires emergency treatment).

Patient education for myasthenia gravis might include:

- Understanding the condition and how it affects the body
- Learning how to manage symptoms at home, including how to conserve energy and rest when needed
- Knowing when to seek emergency medical treatment for worsening symptoms

Prevention strategies for myasthenia gravis are not well-established. However, avoiding triggers that can worsen symptoms (like stress or certain medications) and maintaining good overall health can help manage the condition.

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