Guillain Barre Syndrome (GBS) Case Study
Scenario:
C.B. is a single, self-employed 54-year-old man. Three weeks ago, he saw his primary care provider because of symptoms of fatigue, myalgia, fever, and chills, which were accompanied by a hacking cough. He was diagnosed with viral influenza. Today he has weakness, numbness, and tingling of both lower extremities, which is progressing into his upper body. His brother brought him to the emergency department after recognizing the seriousness of his ilness. The attending physician immediately suspects Guillain-Barré syndrome (GBS).
Question:
1. Which set of arterial blood gases would be consistent with the presence of this complication?
a. pH 7.50, Pco2 52 mm Hg
b. pH 7.35, Pco2 40 mm Hg
c. pH 7.25, Pco2 60 mm Hg
d. pH 7.51, Pco2 31 mm Hg
2. Which assessment finding, if present, would require your immediate intervention?
a. Diaphoresis
b. Slurred speech
c. Facial flushing
d. Urinary retention