What should be prioritized in a nursing assessment for a patient with suspected Guillain-Barré syndrome?

In a nursing assessment for a patient with suspected Guillain-Barré syndrome, prioritizing the respiratory assessment is crucial due to the risk of respiratory muscle involvement that can occur with this condition. Guillain-Barré syndrome can lead to progressive weakness, which may affect the diaphragm and other muscles involved in breathing.

Patients with this syndrome may experience respiratory distress or failure as the disease progresses, making it essential to monitor their respiratory function closely. Assessment should include checking the patient's breathing patterns, oxygen saturation levels, and any signs of respiratory distress such as increased work of breathing or altered mental status due to hypoxia.

While neurological status, fluid intake, and electrolyte levels are important components of a comprehensive assessment in Guillain-Barré syndrome, they should be evaluated after ensuring that the respiratory system is stable. Compromised respiratory function can quickly become life-threatening, thus it must be addressed as a priority in the assessment process.