NCLEX Review & Nursing School

– a chronic degenerative disease of the CNS

– demineralization of the neurons.

– exacerbation and remissions.

Causes:

– An autoimmune response

– Virus infection

– Stress related that can precede an onset.

Assessment for patients with MS

• FATIGUE AND WEAKNESS
• BLADDER AND BOWEL DISTURBANCES (LATER STAGE)
• RESPIRATORY PARALYSIS AND FAILURE (LATER STAGE)
• * POSITIVE BABINSKI REFLEX.

Meds:

Cholinergic Drug: Bethanechol (Urecholine)

Glucoccorticoides: Demathesone, Prednisone

Muscle Relaxants: Baclofen

INTERVENTIONS

– Assess the patient’s Neurological Status.

– Make sure to assess gag reflex before feeding.

– Increase the fluid intake. Physical Therapy

Diet:

• High Calorie, Low Fat Diet.