Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with progressive ascending muscle weakness, paresthesias, and recent onset of dyspnea. Symptoms began [Number] days ago following a [GI/Respiratory] infection. Currently exhibiting signs of respiratory muscle fatigue, including orthopnea, shallow breathing, and inability to maintain secretions.
Clinical Examination Findings
Vitals: [HR, BP, SpO2, RR]. Neurological: Symmetric ascending flaccid paralysis, diminished/absent deep tendon reflexes (areflexia). Respiratory: Use of accessory muscles, paradoxical abdominal movement, weak cough reflex, and reduced vital capacity (FVC < 15-20 mL/kg). Bulbar involvement noted by dysphagia and dysarthria.
Treatment Protocol
Immediate admission to ICU for close monitoring of respiratory mechanics (NIF/FVC). Initiate mechanical ventilation if respiratory failure is imminent. Administer IVIG (0.4 g/kg/day for 5 days) or plasma exchange (PLEX). Provide DVT prophylaxis and aggressive pulmonary hygiene.