Multiple Sclerosis Nursing | Multiple Sclerosis Treatment, Symptoms, NCLEX Review
Summary
TLDRIn this NCLEX review video, Sarah Thresher discusses Multiple Sclerosis (MS), an autoimmune disease affecting the myelin sheath of neurons in the central nervous system. She covers symptoms, diagnosis, pathophysiology, and nursing interventions, emphasizing the importance of lifestyle changes, medication, and support for patients.
Takeaways
- 🧠 Multiple Sclerosis (MS) is an autoimmune disease that targets the myelin sheath of neurons in the central nervous system, leading to inflammation and scarring.
- 🔍 The diagnosis of MS involves a process of ruling out other conditions and may include MRI, lumbar puncture, and evoked potential studies to identify lesions and inflammation.
- 👩⚕️ Nursing care for MS patients focuses on managing a wide range of symptoms, including motor and sensory issues, cognitive problems, and bowel and bladder dysfunction.
- 💊 Medications for MS aim to reduce inflammation, manage relapses, and address specific symptoms like fatigue, spasms, and bladder issues.
- 🌡️ Uhthoff's phenomenon is a key symptom of MS where heat exacerbates the patient's symptoms, emphasizing the importance of keeping the patient cool.
- 🏃♀️ Exercise is crucial for MS patients to combat fatigue and improve mood, but it's important to avoid overexertion and maintain a cool environment.
- 🏠 A clutter-free environment and the use of assistive devices can help MS patients navigate their living spaces safely, especially when experiencing vision and coordination issues.
- 🗣️ Speech and language pathology may be involved in the care plan for MS patients to address speech and swallowing difficulties.
- 🤝 Support groups can provide emotional and practical support for MS patients, helping them connect with others facing similar challenges.
- 🧬 The exact cause of MS remains unknown, and while there is no cure, lifestyle changes and medications can help manage symptoms and improve quality of life.
- 📚 The video script serves as an educational resource for nursing students preparing for the NCLEX exam, highlighting the importance of understanding MS for patient care.
Q & A
What is Multiple Sclerosis (MS)?
-Multiple Sclerosis, also known as MS, is an autoimmune disease that affects the myelin sheath of the neurons in the central nervous system, which includes the brain and spinal cord. This leads to inflammation and scarring, disrupting nerve signal transmission and causing various motor and sensory symptoms.
How does MS affect the central nervous system?
-MS affects the central nervous system by causing the immune system to attack the myelin sheaths, leading to demyelination. This disrupts the normal functioning of neurons, impairing their ability to transmit signals effectively, which results in a range of symptoms.
What are some common symptoms of MS?
-Symptoms of MS can vary widely between patients and may include fatigue, tremors, spasms, numbness, tingling, dizziness, vertigo, vision problems, emotional and cognitive issues, bowel and bladder dysfunction, and coordination problems.
What is the most common form of MS?
-The most common form of MS is called relapsing-remitting MS, where patients experience periods of symptom flare-ups followed by periods of remission.
How is MS typically diagnosed?
-Diagnosing MS is a process that involves assessing the patient's signs and symptoms, ruling out other conditions, and conducting tests such as MRI to look for lesions, a lumbar puncture to analyze cerebrospinal fluid for oligoclonal bands, and evoked potential studies to assess the response to electrical signals sent to the CNS.
What is the role of the myelin sheath in the context of MS?
-The myelin sheath is crucial for insulating and protecting the axons of neurons, ensuring the efficient transmission of nerve signals. In MS, the myelin sheath is damaged, leading to demyelination, which impairs signal transmission and causes symptoms.
Why do symptoms of MS vary between patients?
-Symptoms vary between patients because MS affects different areas of the central nervous system, depending on where the demyelination occurs. This can lead to lesions in various locations, resulting in a range of different symptoms.
How can lifestyle changes help patients with MS?
-Lifestyle changes can help manage the symptoms of MS by reducing factors that may exacerbate symptoms, such as avoiding excessive heat, managing stress, maintaining a healthy diet, and engaging in appropriate exercise to improve energy levels and reduce fatigue.
What are some nursing interventions for patients with MS?
-Nursing interventions for MS patients may include providing a safe environment to prevent injuries, managing bowel and bladder issues, educating patients on stress relief techniques, promoting appropriate exercise, and using assistive devices to aid in daily activities.
What medications are commonly used to treat MS symptoms?
-Medications for MS can include beta interferons to decrease inflammation and immune system response, corticosteroids for symptom relapses, anticholinergic drugs for overactive bladder, cholinergic drugs for bladder emptying issues, and medications like amantadine or modafinil for fatigue. Other drugs may target specific symptoms like spasms or tremors.
Outlines
🧠 Introduction to Multiple Sclerosis
Sarah Thresher, a registered nurse, introduces a video on Multiple Sclerosis (MS) as part of an NCLEX review series focusing on the neuro system. She emphasizes the importance of a free quiz for testing knowledge on the condition. MS is defined as an autoimmune disease that targets the myelin sheath of neurons in the central nervous system, leading to inflammation and scarring. This impairs nerve signal transmission, causing motor and sensory symptoms. To differentiate MS from other neurological conditions, Sarah suggests associating MS with the affected myelin sheath. The video promises an in-depth look at symptoms, diagnosis, and management strategies for MS.
🌐 Understanding Multiple Sclerosis Pathophysiology
This paragraph delves into the pathophysiology of MS, explaining how the immune system attacks myelin sheaths, leading to demyelination and affecting nerve signal transmission. Symptoms vary among patients due to the location of lesions in the central nervous system. The paragraph outlines different symptoms related to emotional and cognitive issues, sensory disturbances, and motor problems. It also introduces the concept of Uhthoff's sign, where heat exacerbates symptoms, and discusses the importance of recognizing early signs and symptoms for prompt diagnosis and treatment.
🔍 Diagnostic Approaches for Multiple Sclerosis
The script outlines the diagnostic process for MS, which includes a comprehensive assessment due to the condition's mimicry of other diseases. Diagnostic tools such as MRI for brain and spinal cord imaging, lumbar puncture to analyze cerebrospinal fluid for oligoclonal bands, and evoked potential studies to assess nerve signal responses are discussed. These methods help identify the presence of lesions and inflammation indicative of MS.
🏥 Nursing Interventions for Multiple Sclerosis Patients
The paragraph discusses nursing interventions for MS patients, focusing on safety due to sensory and motor issues, bowel and bladder management, and the prevention of symptom exacerbation. It highlights the importance of a cool environment to avoid Uhthoff's sign, stress management, and the promotion of适度 exercise to combat fatigue and depression. The use of assistive devices and maintaining a clutter-free environment is emphasized to prevent injuries. The paragraph also touches on the potential need for speech and swallowing therapy, physical therapy, and joining support groups for emotional well-being.
💊 Medications for Managing Multiple Sclerosis Symptoms
This section reviews various medications used to treat MS symptoms. Beta interferons are highlighted for reducing inflammation and relapses, with examples like Avonex, Rebif, and Betaseron. Corticosteroids are mentioned for managing relapses, with drug names such as Methylprednisolone and Prednisone. The paragraph also covers medications for bladder issues, fatigue, spasms, and tremors, including Oxybutinin, Bethanechol, Amantadine, Modafinil, Baclofen, Diazepam, Propranolol, and Isoniazid. The discussion underscores the multifaceted approach to symptom management in MS treatment.
Mindmap
Keywords
💡Multiple Sclerosis (MS)
💡Myelin Sheath
💡Neuron
💡Relapsing-Remitting MS
💡Demyelination
💡Lhermitte's Sign
💡Nystagmus
💡Optic Neuritis
💡Corticosteroids
💡Beta Interferon
💡Nursing Interventions
Highlights
Multiple sclerosis (MS) is an autoimmune disease affecting the myelin sheath of neurons in the central nervous system.
MS leads to inflammation and scarring of neurons, resulting in decreased nerve signal transmission and various motor and sensory symptoms.
Nurses can use the mnemonic 'MS Myelin Sheath' to differentiate MS from other neurological conditions like Parkinson's.
Symptoms of MS vary widely among patients due to the different locations of lesions in the brain and spinal cord.
Relapsing-remitting MS is the most common form, with symptoms appearing and disappearing in episodes.
MS is more prevalent in women and typically affects individuals between the ages of 20 to 40.
The cause of MS is currently unknown, and there is no cure, but lifestyle changes and medications can help manage symptoms.
Diagnosing MS involves a neurologist assessing signs and symptoms, ruling out other diseases, and conducting tests like MRI and lumbar puncture.
Demyelination in MS disrupts the proper transmission of nerve signals, affecting various bodily functions.
Early signs and symptoms of MS include fatigue, depression, speech issues, and sensory problems.
Uhthoff's sign is a phenomenon in MS where heat exacerbates symptoms, highlighting the importance of avoiding overheating.
Nursing interventions for MS include safety measures, bowel and bladder management, stress reduction, and appropriate exercise.
Assistive devices and environmental modifications can improve the quality of life for MS patients with mobility issues.
Speech and language pathology consultations may be necessary for MS patients with speech and swallowing difficulties.
Bowel and bladder management in MS includes dietary adjustments, fluid intake, and potential self-catheterization.
Medications for MS aim to reduce inflammation, manage relapses, and address specific symptoms like fatigue and spasms.
Beta interferons, corticosteroids, and various other medications are used to treat different aspects of MS symptoms.
Nurses play a crucial role in educating MS patients about potential tests, medications, and self-care strategies.
Support groups can provide emotional and practical support for MS patients as they navigate their condition.
Transcripts
this is sarah thresher nurse rn.com and
in this video i'm going to be going over
multiple sclerosis and this video is
part of an nclex review series over the
neuro system and as always don't forget
to check out the free quiz that will
test you on this condition so let's get
started what is multiple sclerosis also
called ms it is an autoimmune disease
that affects the myelin sheath of the
neurons in the central nervous system
and what's included in our central
nervous system our brain and our spinal
cord now whenever these myelin sheaths
are being attacked by the body what
happens is it affects the neuron and it
causes it to become inflamed and scarred
now what's the role of our neuron well a
rollover neuron is the same nerve
signals to either another nerve or a
gland or a muscle well if it's inflamed
and scarred it can't do this so there is
a decrease in nerve signal transmission
which is going to lead to a lot of motor
and sensory symptoms that you're going
to see a little bit later now in nursing
we have to know a lot of different neuro
diseases and how do you keep them
straight how do you know what's going on
in parkinson's how do you know what's
going on in multiple sclerosis or
myosinia gravis well to help me keep
them straight and to remember this
condition with multiple sclerosis i
think of okay multiple sclerosis is also
called ms we have the myelin sheath that
is being affected so ms myelin sheath
that is how i keep this straight
compared to parkinson's where your
dopaminergic neurons are being affected
and things like that so hopefully that
helps you now before we dive into the
patho let's talk about some quick facts
about ms okay this disease like we've
already said is immune related so you
actually have your immune system cells
going to
these neurons within the central nervous
system and attacking these myelin
sheaths and our myelin sheaths protect
our axon and whenever they're gone that
axon can't really take that signal and
transfer it to wherever it needs to go
so we have issues with that now let's
talk about symptoms symptoms in patients
vary this patient over here may have
these symptoms while this patient over
here has a little bit different symptoms
now why is that
well it affects our central nervous
system those myelin sheaths and you have
a lot of different neurons in a lot of
different locations in the brain and the
spinal cord and certain areas can be
affected in certain patients so you're
going to see lesions in different areas
of the body for example let's say that a
patient with ms has lesions where their
myelin sheaths are inflamed and scarred
in the cerebellar area well this patient
just because the function of that area
of the brain is going to suffer from
tremors dysarthria where they have
trouble articulating speech because
those muscles that help you do that
aren't working correctly ataxia where
they're going to have some balance and
coordination issues and some cognitive
issues compared to
if they had lesions
where the myelin sheath were damaged
going to the optic nerve and the optic
nerve can become inflamed patients can
experience pain whenever they just move
their eyes and their sockets they can
experience blurry visions see dark spots
and things like that a little bit later
we're going to really talk about those
symptoms in depth but just be aware of
that and another thing that is
interesting about ms is that there's
different forms of it and the most
common form of ms is called relapsing
re-emitting ms and this is where just
like the name says the patient will have
symptoms that appear they have them and
then they'll disappear so they like go
back into remission in a sense and this
ms tends to affect women more than men
and it tends to strike between the ages
of 20 to 40 years of age so relatively
young
the cause of ms is unknown they're not
sure as of now and there is currently no
cure for ms however lifestyle changes
can help with that because there's some
things that patients with ms can do that
they can do to prevent
making their symptoms worse which we're
going to talk a little bit more about in
our nursing interventions
and medications can be prescribed to
improve their signs and symptoms now
let's quickly talk about how ms is
diagnosed because from the nursing
standpoint you want to be able to
educate your patient about potential
tests they may go for and the prep for
them and things like that so one thing
with diagnosing ms is that it takes time
the neurologist has to assess a lot of
different things because there's not
just one test that says hey this patient
has multiple sclerosis so they're going
to look at the patient's signs and
symptoms because a lot of the signs and
symptoms that present in this condition
mimic other conditions so they may have
to rule out other diseases and they can
also order an mri which will take
imaging of the brain and the spinal cord
and it's looking for that inflammation
and scarring on those neurons so it's
looking for lesions in the brain or
spinal cord that could represent that
this patient might have ms another thing
that can be ordered is a lumbar puncture
and this is where they go in and they
remove a sample of cerebral spinal fluid
and they're looking for a high amount of
proteins specifically
oligoclonal bands and if these bands are
present in there that shows that there's
inflammation in the central nervous
system which correlates with multiple
sclerosis
and another type of test that can be
ordered is an invoke potential studies
and this is where they're literally
invoking
electrical signals they're trying to
invoke a response where they're sending
electrical signals to the cns and
they're assessing that response after
those signals are sent now let's talk
about patho because in order to
understand why you're seeing these
certain signs and symptoms in patients
with multiple sclerosis you have to
understand the anatomy and physiology of
the neuron how it works so let's look at
the neuron first we're going to talk
about the dendrites and this is really
where it all starts because the
dendrites receive the signal needed to
create some type of action and then that
signal that they receive goes down to
the soma which soma means body and this
structure helps pass on the signal it
just received from the dendrites to the
rest of the neuron
then the signal goes down and passes
where the soma of the neuron and the
axon connect which is called the axon
hillock then it goes down this long area
known as the axon and remember axon away
takes away from the neuron and for this
axon to be able to deliver this signal
correctly and strongly to either like
another neuron or muscle or gland it
must be
insulated and protected by the myelin
sheath so this is the problem with
multiple sclerosis our myelin sheath has
experienced damage which is called
demyelination
so guess what when a signal is going to
be transferred down through this neuron
it's not going to happen correctly or
even strong enough in a patient who's
having demolization of their myelin
sheaths so that
signal is not going to go and be able to
stimulate that area that that nerve
supplies however in a healthy neuron
where your myelin sheath isn't damaged
it's nice and insulated once that signal
leaves the axon it's going to go down
through the axon terminal which is like
the end of the axon hence terminal and
it's going to snap and where it snaps is
this is where a nerve signal passes with
either another neuron or muscle or gland
to cause some type of action but that's
not really happening here in our
patients who have ms so the concept in
multiple sclerosis is that we're talking
about the nerve cells where in the
central nervous system which is our
brain and our spinal cord so before we
jump here into our signs and symptoms we
need to remember that because of this we
can expect to find sensory problems and
some motor problems like sensory being
like their touch their vision
even it can go into emotional
and cognitive issues also coordination
and bowel and bladder issues now we're
going to signs and symptoms and remember
again patients vary on their signs and
symptoms depending on where that
demyelination has occurred within that
central nervous system now whenever you
see these little asterisks these are
usually the signs and symptoms that are
present early on that patients are going
to have so what i've done is i've
divided the signs and symptoms up by
category because as we just learned the
patient can have emotional cognitive
sensory and motor issues along with
bowel and bladder so we're going to look
at it from those standpoint okay first
let's look at emotional and cognitive a
lot of patients early on they're going
to report that they feel just very
fatigued they haven't even really done
anything to make themselves feel this
tired but they are extremely drained and
petite
they can also experience depression
have speech issues which gets back to
that dysarthria that we talked about
when there's cerebellar
lesions present also later on they can
have dysphagia where they have
difficulty swallowing because those
muscles just aren't working like they
should
also mood swings they can easily be
happy and then switch to side depress
things like that they can also have
trouble thinking and this goes back to
the cognitive issues and that's where
they can have lesions on that cerebellum
area and they can have trouble focusing
problem solving planning thinking of
those right words to say
and things like that now sensation
issues this is another big thing that
people report they can have tremors and
spasms and the spasms can be just very
painful
and which can lead to a lot of
clumsiness a lot of patients report that
they just feel drunk
and this can lead to injury so be
thinking about that whenever we're
thinking about our nursing interventions
and our plan of care
also numbness tingling this can be on
the face the extremities
dizziness vertigo and this can cause
coordination issues along with having a
positive romberg sign now what is that
now and sometimes whenever you do your
nursing head to toe assessment
you can assess for romberg sign and
that's where you have the patients stand
with their eyes closed and their feet
together and if they have a positive rum
bird sign that means that they have
lesions on that cerebellum area that's
responsible for
knowing where your body is in space with
your eyes closed and whenever they close
their eyes they'll actually start to
lose their balance and sway so that's
what that is and another thing is i want
you to remember anytime you see a fancy
name with the word sign and nursing
always remember that for exams it's
called learn meets sign and this is
where the patient if they move their
head in various
motions they can experience an electric
shock sensation down their body a lot of
patients with multiple sclerosis have
experienced this now how can you
remember this for tests remember the l
in lermates and lightning it's like an
electric shock that's how i keep those
straight now let's look at vision issues
in a patient with multiple sclerosis
okay they can have nystagmus where
there's involuntary movement of the eyes
they can also have optic neuritis where
the optic nerve that supplies the eyes
is inflamed and scarred because
demolization of that myelin sheath which
can lead to double vision blurry vision
they their vision can become dull or
gray it's not as vivid as it used to be
when they move their eyes it's very
painful or they see dark spots in their
vision and a lot of times patients will
start having this maybe they don't have
any other symptoms they go in they have
this and this is really associated with
multiple sclerosis now let's look at
elimination issues and we're talking
about the bowel and the bladder because
the nerves that feed those organs that
help us
void and have bowel movements
aren't working very well especially
those sphincters and those muscles so
the nerves can't stimulate them like
they should
so it can go really one of two ways like
with urine some patients can't hold
their urine their bladder is very over
active so they can have incontinence
they can pee a lot at night with not
nocturia or they can have issues with
actually starting a stream with pain
because there's problems with
contracting devoid so they can have
retention issues which puts them at risk
for urinary tract infections and renal
stones which is why in our nursing
interventions we need to educate how to
prevent that
with bowel they can either have
constipation or diarrhea sometimes they
can't even hold the stool because they
can't control the sphincter that is
connected to the bowels and another
thing they can experience is called utop
sign and this is where heat will
actually make their signs and symptoms
that we just went over worse so if they
experience extreme heat outside or doing
physical exercise they will actually
start doing a lot worse with their signs
and symptoms so it's important that a
patient with multiple sclerosis does not
overheat themselves now let's talk about
nursing interventions what are we going
to do for a patient with multiple
sclerosis what's going to be included in
our plan of care well we need to think
back to what we've just learned what's
going on with our patient well we know
based on all those signs and symptoms
that they're going to have safety issues
because they have vision problems
coordination issues and issues with
their perception of pain because they
have the numbness and tingling so they
could easily injure themselves so we
want to be having our thinking around
that also we want to be thinking about
the bowel and the bladder how we can
educate them about that because they're
at risk for urinary tract infections
kidney stones skin breakdown
and
we learned that the most common type or
form of multiple sclerosis was the
relapsing remitting multiple sclerosis
where they have symptoms and then they
go away and we need to talk about how we
can prevent when they do have their
symptoms out of making them worse and of
course medications so let's talk about
preventing the increase in the signs and
symptoms we learned just recently about
udolph sign and we know that heat can
make that worse so we don't want to make
a patient with multiple sclerosis we
don't want to increase their temperature
with heating pads warming blankets
keeping the room temperature hot we want
to keep the environment nice and cool
and stress can increase it so we want to
have a calm environment as well and
teach them some stress relief techniques
because if they experience a lot of
stress it can increase their symptoms
also avoiding infection can do it as
well and over exertion which brings me
to the next point with exercise exercise
is very important for a person who has
ms it's going to help increase their
energy level because they need as much
energy as they can get because of the
fatigue they have and it's going to help
lessen that depression
but they don't want to overdo it so
teach them they need to pace themselves
but they still need to work out but if
they're just feeling horrible it's okay
to skip a day
some best types of exercising for them
is swimming water aerobics type
exercises because heat can cause
worsening of signs and symptoms if
they're in water they're staying nice
and cool and if they pace themselves out
it can be a great way to work out
another thing is using assistive devices
especially when those signs and those
symptoms are really out
and i've had patients with multiple
sclerosis they say even taking a shower
is very hard for them because standing
in the shower is hard the coordination
so getting them a shower chair having
the railing just there to help them with
that goes a long way
importance of having a clutter clutter
free room for them because a lot of
patients may have the dark spots on
their eyes where they can't see certain
parts of their visual peripheral fields
and teaching them to scan the
environment before they get up because
they can have the blurry vision as well
so you want to teach them how to do that
in preventing injury and another thing
is usually what's going to be consulted
depending on what's going on with your
patient if they have where their speech
is affected and their swallowing speech
language pathology will be
consulted to help the patient with their
speech and swallowing and also you want
to assess your patients swallowing are
they coughing a lot when they eat are
they drooling do their lungs sound like
you can hear crackles or anything like
that where they possibly aspirated they
have
usually the difficulty swallowing is in
late stages of multiple sclerosis but
you want to be familiar with that
physical therapy might be consulted to
help them develop exercise regimen and
using those assistive devices
and it's important that you get with
your patient and look up local support
groups of other patients who have
multiple sclerosis and if they're
interested in that they can go there be
with other patients who have this and
just be a support to one another while
they're battling this disease and of
course bowel and bladder okay bladder
remember they can have where they have
an overactive bladder or their bladder
is really not working so they're
retaining the urine so if they have an
overactive bladder you want to make sure
that they have easy access to that
bathroom that's clutter free so they can
go back and forth because they're
probably going to be up a lot and they
may have incontinent episodes so you
want to make sure if your patient's like
immobile and they can't do that
themselves that you're assessing them
for skin breakdown that they have clean
pads underneath them at all times to
prevent the urine from breaking down the
skin
and if they're having issues with
retaining urine they may need to be
taught how to self cath to remove the
urine from the bladder because when
blood when urine stays in the bladder
what happens it is a great reservoir for
infection urinary tract infections and
renal stones because when that urine
just stays
stagnant in the kidneys and the ure and
the bladder stones can form so you want
to educate that patient you want to make
sure you're getting lots of fluids as
long as it's not contraindicated at
least one to two liters of fluids a day
to keep that urine um not concentrated
and for bowel issues again they can have
constipation or diarrhea incontinence so
for
patients who are having constipation
issues you want to teach them about
maintaining high amounts of fiber in
their diet lots of fruits and vegetables
to keep that stool soft and easy and
bulky to pass
and stool softeners if needed and your
patients who are incontinent of stool
you need to be assessing their skin
making sure it's not breaking down and
using those barrier creams okay now
let's talk about medications used to
treat multiple sclerosis okay these
medications we're going to talk about
they really vary depending on what
symptoms the patient is having but first
what we're going to talk about is beta
interferon and what these medications do
is that they decrease the number of
relapses of symptoms by decreasing the
inflammation in the body and the immune
system's response now because it's doing
this what do you think the patient's at
risk for the risk for infection because
it's going to decrease the number of
white blood cells and white blood cells
helps us fight infections and some drug
names of drugs that include the beta
interferons are avenex which is
interferon beta 1a
rebif and then beta feron now let's look
at if your patient is having a relapse
of multiple sclerosis symptoms what are
they going to be ordered to help
decrease that inflammation and decrease
that immune system's response
corticosteroids so that helps with the
relapses and some drug names include
methylpregnisalone
and prednisone now let's look at bladder
issues what can a patient be prescribed
who may have an overactive bladder well
a good one is oxybutinin and this is an
anticholinergic and what it does is it
helps with an overactive bladder by
relaxing the bladder muscle to prevent
contractions now on the flip side let's
say the patient has issues with emptying
the bladder so they can be ordered a
drug called bothanacol which is a
cholinergic drug that helps with
emptying and what it does is it helps
with bladder contraction so they can get
rid of that urine it won't stay stagnant
in the bladder and for patients who are
having fatigue they can be ordered
amantadine which is actually an
antiviral and an anti-parkinson
medication that is used to treat some of
those conditions
but they have found that this drug has
central nervous effects that actually
helps improve fatigue in some patients
with multiple sclerosis and another drug
sometimes used is called modafinil which
is also a central nervous stimulant so
that would help with fatigue as well and
for patients who are having spasms they
can be ordered baclofen which is a
skeletal muscle relaxant that acts
centrally so helps with those spasms or
diazepam which is also known as valium
can help with that and for patients who
have tremors they can take various
medications one being propranolol which
is a beta blocker and we talked about
this drug law inner cardiac series and
one of the things with beta blockers
remember you have to warn the diabetic
patient that if you know normally when
you know your blood sugar's dropping you
get tremors you get shakes
well this drug will mask that and that's
how this drug can work for a person when
a person with multiple sclerosis will
help decrease their tremors and another
drug used to treat tremors in some
patients with multiple sclerosis is
ionized and this is actually an
antibiotic used to treat infections
especially in patients who have
tuberculosis tb but they've also found
that this drug helps with certain
tremors and multiple sclerosis so you
can see
probably already from where we talk
about drugs a lot that although
these drugs are used to treat these
certain conditions they can also treat
signs and symptoms in other conditions
as well okay so that wraps up this nclex
review over multiple sclerosis thank you
so much for watching don't forget to
take the free quiz and to subscribe to
our channel for more videos
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