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Nursing Care Plan A Client with Myasthenia Gravis

CHAPTER 43 / Nursing Care of clients with Neurologic Disorders 1435. ineffective airway clearance and impaired swallowing; other Dysphagic clients are at risk for aspiration; matching food Nursing diagnoses that commonly apply, such as that related to consistency to the Client 's ability to swallow enhances fatigue, are addressed in other sections of this chapter. safety. Plan meals to promote medication effectiveness. Pyrid- Ineffective Airway Clearance ostigmine should be given 30 minutes before the meal to pro- The underlying causes for ineffective airway clearance for the vide optimal muscle strength for swallowing and chewing. person with Myasthenia Gravis include poor cough mechanism, Have the Client eat slowly, using small bites of food. decreased rib cage expansion, diminished diaphragm move- Schedule meals during periods when the Client is adequately ment, and decreased expiratory effort.

CHAPTER 43 / Nursing Care of Clients with Neurologic Disorders 1435 ineffective airway clearance and impaired swallowing; other nursing …

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