Multiple Sclerosis

May improve at times, but will have exacerbations.u00a0
It is a relapsing and remitting disease course.
Emotional symptoms: fatigue, depression, speech problems, mood swings, & trouble thinking.
Sensation: spasms/clumsy, dizzy, numbness, tingling, +Romberg sign (when a patient is able to stand with feet together and eyes open, but sways or falls with eyes closed),and tremors.
Lhermitte’s sign is a sudden sensation resembling an electric shock that passes down the back of your neck and into your spine and may then radiate out into your arms and legs
Vision: Nystagmus, diplopia, blurry vision (first symptoms to appear)
Elimination: incontinence or retention, diarrhea or constipation.u00a0
Treatment: corticosteroids, oclelizumab to slow progression (immunosuppressant), and anti-inflammatories.
Nursing interventions: assess vision, pain perception (think safety, can’t feel so they can burn easily), swallowing (aspiration precautions), stool softeners, cath for urine (UTIs, need acid ash diet to prevent UTIs), u2193 stress and overexertion.