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Past medical history
gradual onset of weakness
General Appearance
improves with rest
drooping eyelids (ptosis)
double vision (diplopia)
dysphagia
Respiratory pattern and BS
Shallow breathing with crackles/diminished
Special tests
Tensilon (edrophonium)
Electromyography
Ice pack test
Ach blood test
Ventilatory parameters to always monitor
VT, VC, MIP
If VT, VC, and MIP improve with Tensilon, this means?
More of this drug should be given (-mine)
If VT, VC, and MIP worsen with Tensilon, this means?
Administer atropine to reverse effects
Tx and Management
Bed rest and soft diet
Hyperinflation therapy (IS/SMI and IPPB)
Pulmonary hygiene