Reference no: EM133787459

Question

The nurse is caring for an adult client on the medical -surgical unit with a diagnosis of myasthenia gravis. Nurse's Notes : The client presented to the emergency department (ED) earlier this morning with cold -like symptoms and a productive cough over the last 24 hours, and was admitted to the medical-surgical unit for further evaluation . Client reports increasing weakness , difficulty swallowing, and shortness of breath. An intravenous catheter in the right forearm is patentPhysician present for evaluation 0815: Physician administers edrophonium intravenous slowly. Following administration of edrophoniumthe client reports a temporary increase in muscle strength, and less shortness of breath Actions to Take Prepare physostigmine salicylate for administration. Urine output Cholinergic crisis. Dysphagia Potential ConditionParameters to Monitor Anticholinergic toxicity. Pulmonary secretions Myasthenic crisis. Mydriasis. Encourage the client to use Acute viral infection .Hyperthermia. an incentive spirometer hourly . Request prescription to increase acetylcholinesterase inhibitor . Place suctioning and emergency alay equipment at bedside . Administer atropine IV.