MYASTENIA GRAFIS

Myastenia Grafis :

Penyakit kronis dari neuro muskuler fungtion akibat proses autoumunie yang merusak sejumlah reseptor  asetikolin di membran post sinap otot 

( Hickey , 1977  )

1.    Patofiologis :

A Ch Û  Achn RS

 

End plate potensial

 

Serabut otot

 

Kontraksi otot

 

Otot lemah / fatique

2.    Nursing Intervensi :

a.    Mantenance of resp fungtions

è initial phase

-          Monitor C. Closery

·         air hunger, dypsnea, confusion, shorthnes of breacth

·         RR : rythim, deapth / 1 – 4 hari

·         BCA : VC / 2 – 4 hari

-          Note : Vc , 15 – 20 ml / kg dan inability to clear secretion

b.    Physical Mobility :

-          Maintenece of profer body aligment

-          Encourage max independence

-          Rom exeruse / 2 – 4 hari ( aktiv / pasif )

-          Kolaborasi : physical dan accup th/

c.    Maintenece skin integrity

d.    Encourage to verbalized feeling è use coping strategis

e.    Discharge planning

Planning for dischanger of the begin an adminission

Succsfull planning prouiders, A smooth transitition from the hospital 10 card mg, dellcetus è dikurangi mis : suhu stres, menstruasi