[Verified Answer]: Case Study: Myasthenia GravisPatient…

Case Study: Myasthenia GravisPatient Profile:Name: Sarah ThompsonAge: 28Sex: FemaleDiagnosis: Myasthenia GravisHistory: Diagnosed 6 months ago. Presents to the ER with increased weakness and difficulty swallowing. She reports that her symptoms worsen in the evening. She has missed several doses of her pyridostigmine due to a recent move.Subjective Data:”My eyes feel really tired and droopy.””Ive been having trouble chewing and swallowing, especially at dinner.””I get so weak by the end of the day.”Objective Data:Vital Signs: T 98.6deg F, HR 88, RR 18, BP 110/70, O2 Sat 96% on RAPtosis (drooping of the eyelids) notedDifficulty speaking clearly (dysarthria)Muscle strength 3/5 in upper extremitiesNo signs of respiratory distressMissed 2 days of pyridostigmine due to misplacing medicationCurrent Medications:Pyridostigmine (Mestinon) 60 mg PO q4h while awakeMultivitamin daily Discussion QuestionsWhat is the pathophysiology of myasthenia gravis and how does it relate to Sarahs symptoms?What is the likely cause of Sarahs current exacerbation of symptoms?What are the priority nursing assessments for this patient?What are potential complications of myasthenia gravis that nurses should monitor for?What teaching should the nurse provide regarding medication adherence?What is the difference between a myasthenic crisis and a cholinergic crisis?How can the nurse assess for worsening respiratory status in this patient?What interprofessional team members may be involved in Sarahs care?