NURSE-UN 1244 Lecture Notes - Lecture 1: Myoclonus, Fasciculation, Skeletal Muscle
Document Summary
Nursing management of alterations of the musculoskeletal system: alterations in muscles of the body, common problems in muscles, pathologic processes affecting the skeletal muscles, paralytic diseases. Pathologic processes affecting the skeletal muscles: muscular dystrophies, inflammatory myopathies, fibromyalgia syndrome. Muscular dystrophies: a group of genetic disorders involving gradual degeneration of muscle fibers, the client experiences progressive weakness and skeletal muscle wasting accompanied by disability and deformity. Note: more than 60% of clients with md live to age 21 years, but survival beyond age 30 is unusual. Death generally results from respiratory or cardiac failure. unusual. Death generally results from respiratory or cardiac failure. Inflammatory myopathies: are rare inflammatory disease of the muscle characterized by polymyositis and dermatomyositis, focal or extensive degeneration of muscle fibers caused by inflammatory infiltrates of lymphocytes and macrophages- necrosis can occur. Immunosuppressive agents: for clients who do not respond to steroids: Diagnosis: decreased atp and creatine phosphate levels, esr, cbc, blood chem.