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학습 자료 둘러보기 →The highest priority in ascending paralysis is continuous monitoring of respiratory status. Paralysis can progress to the trunk and respiratory muscles within hours, leading to neuromuscular respiratory failure, the primary cause of death in GBS.
Assess respiratory function using objective measures: forced vital capacity (FVC), negative inspiratory force (NIF), and single breath count. Prepare for mechanical ventilation when FVC drops below 20 mL/kg or NIF is less than -30 cm H2O.
Do not rely solely on oxygen saturation or respiratory rate. A patient with impending respiratory failure may maintain normal SpO2 until very late. Deterioration can be rapid; have emergency airway equipment at the bedside at all times.
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