A 24-hour ward shift in myasthenia gravis: pyridostigmine timed to meals, breath counts and swallow checks, and when to escalate. Press play, or switch the scenario.
ScopeThis page reports what published studies, drug labels, NHS safety documents and patient charities say. It is not a care plan, and it does not replace local protocols, your scope of practice or the prescriber. Doses and schedules are set by the treating clinician. Where the literature has no answer, the page says so.
EmergencyNew or worsening difficulty breathing, swallowing or speaking in a person with MG is an emergency that needs urgent medical help. The pyridostigmine teaching literature tells patients to contact the prescriber urgently for exactly these signs, and the MGFA emergency alert card warns first responders that breathing or swallowing difficulty may signal a crisis. 353,410
1 · One shift, hour by hour
Schematic shift. Meal and dose times are illustrative; the effect curve and the breath-count trend are modelled, not measured. The timing rules, thresholds and score bands are cited.
Score a single breath count
Position
The count bands and thresholds are published. The vital-capacity figure is derived here from the published average of 116 mL per count, so it is shown as an open dot, and it is a rough estimate. 113,214
2 · Giving the medicines
Rules as published by NHS Scotland and King's Health Partners. The effect curve is schematic. No study has measured outcomes of late doses in hospital. 292,453
Infusion days: IVIG, plasma exchange and the biologics
Treatment
How it is given (label or study)
Before
During and after
3 · Teaching, and what gets misunderstood
4 · What goes in the notes
Entry built from what you ticked
A worked example using the items the sources ask to be recorded. The values are invented for illustration; your service sets the format.