The 23-year-old patient is brought to the emergency department after contacting emergency services to report profound weakness that started in his feet and worsened and spread cranially over the past few days. He reports severe diarrhea after a camping trip a week ago. Upon assessment, strength, sensation, and deep tendon reflexes are significantly reduced, with the lower extremities more severely affected than his upper extremities. Vital signs are normal and the patient seems to be breathing well. There is increased protein in the cerebrospinal fluid found after a lumbar puncture. The patient is admitted to the intensive care unit for further management and observation. The ICU nurse includes which interventions in the plan of care? Select all that apply.

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Daily arterial blood gas monitoring , Strict intake and output monitoring , Low molecular weight heparin injections , Continuous cardiopulmonary monitoring , Sequential compression device utilization. The patient&rsquo;s symptoms and lumbar puncture (LP) results are consistent with Guillain-Barre syndrome. Treatment is largely supportive, with close monitoring for further decompensation in the intensive care unit. Daily arterial blood gas monitoring will assess for respiratory acidosis that requires intubation and mechanical ventilation. Strict intake and output monitoring is important to ensure the patient does not begin retaining urine due to weakness of the bladder muscles. Due to the patient&rsquo;s decreased movement related to the disease process, sequential compression device utilization and low molecular weight heparin injections are also important. Continuous cardiopulmonary monitoring is important to monitor for decompensation and deterioration of the respiratory muscles.

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