Nursing for a patient with immune-checkpoint-inhibitor related impending myasthenic crisis after surgery for stage-Ⅳ liver cancer:a care report
10.3969/j.issn.1671-8283.2025.10.004
- VernacularTitle:1例Ⅳ期肝癌术后患者并发免疫检查点抑制剂相关重症肌无力危象前状态的护理
- Author:
Pinxuan WU
1
;
Ying LI
1
;
Xuezhen WEI
1
;
Chen SHI
1
;
Wenjie HOU
1
;
Li FEI
1
Author Information
1. 海军军医大学第一附属医院长海医院神经内科,上海,200433
- Publication Type:Journal Article
- Keywords:
immune checkpoint inhibitors;
impending myasthenic crisis;
myasthenia gravis;
myasthenic crisis;
case nursing
- From:
Modern Clinical Nursing
2025;24(10):24-28
- CountryChina
- Language:Chinese
-
Abstract:
The nursing experience was summarised over a patient who developed an impending myasthenic crisis following immune checkpoint inhibitors(ICIs)therapy after the surgery for stage-Ⅳ liver cancer.Key nursing points included:close monitoring for early signs of impending myasthenic crisis;set up a multi-disciplinary team to improve respiratory,oropharyngeal and ocular function,control respiratory infection,provide psychological support in order to prevent the patient from developing a manifest myasthenia-gravis crisis(MC);combine with medications to relieve myasthenic symptoms and prevent adverse drug reactions;individualised rehabilitation training to promote recovery of muscular strength.Eventually,the patient did not develop into a MC during hospitalisation(20d)and was well at 3-month after discharge.
