54. Maintaining Respiratory Function Respiratory function can be maximized with incentive spirometry and chest physiotherapy. Monitor the changes in vital capacity & negative inspiratory force. Mechanical ventilation if vital capacity falls, making spontaneous breathing impossible and tissue oxygenation is inadequate. Suctioning to maintain a patent and clear airway. Monitor blood pressure and heart rate for autonomic dysfunction. Nursing Interventions for GBS
55.
56. Providing Adequate Nutrition For patient cannot swallow due to bulbar paralysis (immobility of muscles), a gastrostomy tube may be placed to administer nutrients. The nurse must carefully assess the return of the gag reflex and bowel sounds before resuming oral nutrition. Nursing Interventions for GBS
57. Improving Communication Establishing some form of communication with picture cards or eye blink system. Collaboration with the speech therapist may be helpful in developing a communication mechanism that is most effective for specific patient. Nursing Interventions for GBS
58. Decreasing Fear and Anxiety Referral to a support group may provide information and support to the patient and family. Diversional activities are encouraged to decrease loneliness and isolation. Teaching relaxation exercises and distraction techniques. Nursing Interventions for GBS
