A 42-year-old woman with myasthenia gravis and a recent upper respiratory infection presents with worsening dysphagia, nasal speech, and dyspnea. Vital signs show BP 128/82, HR 102, RR 22, SpO2 92% on room air. She cannot count past 5 on one breath. Serum creatinine is normal. Chest X-ray shows no infiltrates. She denies fever. She takes pyridostigmine daily but skipped doses during her illness. Which intervention is most appropriate immediately?
- A)Give high dose haloperidol
- B)Administer dopamine agonist therapy
- C)Assess ventilatory function and admit for respiratory supportGABARITO
- D)Treat with pralidoxime only
- E)Increase outpatient exercise and observe
Explicação
Myasthenic crisis is life threatening respiratory failure due to severe weakness of bulbar and respiratory muscles, often triggered by infection. Immediate assessment of ventilatory function and admission for airway monitoring, respiratory support, and immunom... Ver explicação completa e trilha adaptativa →