Term
| What is the minimal number of people needed to perform a logroll? |
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Definition
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Term
| Swelling around the spinal cord following a fracture will resolve after how long? |
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Definition
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Term
| When is spinal traction indicated? |
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Definition
| to maintain the spinal cord until swelling resides and surgery can be done |
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Term
| What are the interventions (in order) that should be performed in the event of autonomic dysreflexia? |
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Definition
1. raise HOB to 45 degrees
2. call physician
3. find stimuli
4. reassure the pt |
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Term
| What is usually the cause of death of the chronic spinal cord injured pt? |
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Definition
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Term
| What is the priority concern when dealing with the pt with incomplete fracture of the spine? |
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Definition
| prevention of incomplete becoming complete |
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Term
| What are the signs of spinal shock? |
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Definition
TEMPORARY
-decrease of reflexes
-loss of sensation
-flaccid paralysis below the level of injury |
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Term
| What causes neurogenic shock? |
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Definition
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Term
| What are the S&S of neurogenic shock? |
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Definition
| hypotension and bradycardia |
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Term
| Above what level spinal injury is independent breathing no longer possible? |
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Definition
| above C4, breathe no more |
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Term
| At what level of spinal injury is Central Cord Syndrome usually seen? What are the S&S? |
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Definition
-usually cervical region
-motor weakness and sensory loss in all four extremities, worse in upper extremities |
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Term
| What may be occurring if the pt shows motor paralysis, loss of pain and temperature sensation below the level of injury? |
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Definition
Anterior Cord Syndrome
-touch, position, vibration, and motion sensations remain intact |
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Term
| What may be occurring if the pt shows vasomotor paralysis on the ipsilateral side and loss of pain and temp sensation of the contralateral side? |
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Definition
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Term
| An injury above what level of the spinal cord requires cardiac monitoring? |
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Definition
| above T6, causes a decrease of influence of the sympathetic nervous system |
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Term
| Hypomobility of the GI tract will occur in spinal cord injuries above what level? |
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Definition
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Term
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Definition
the body assumes room temp
-occurs when interruption of the sympathetic system prevents temp sensations from reaching the hypothalmus |
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Term
| A spinal cord injury at what level tends to put the pt at greater risk for loss of thermoregulation? |
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Definition
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Term
| What is a massive uncompensated CV reaction mediated by the sympathetic system? |
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Definition
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Term
| Autonomic dysreflexia can lead to what if unresolved? |
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Definition
| seizure, MI, stroke, and death |
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Term
| What are the 2 major signs indicating autonomic dysreflexia? |
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Definition
| major HTN up to 300 mm/Hg systolic, and throbbing HA |
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Term
| What are the most common causes of autonomic dysreflexia? |
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Definition
| neurogenic bladder/bowel, external stimuli (sheets, etc.) |
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Term
| What is the major assessment that must be made frequently for a pt with autonomic dysreflexia? |
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Definition
BP;
-may require antihypertensive IV |
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Term
| What is neurogenic bladder? |
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Definition
| any type of bladder dysfunction r/t abnormal or absent bladder innervation |
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Term
| What would the voiding pattern be of a pt with reflex neurogenic bladder? |
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Definition
| incontinent, frequency, urgency, voiding is unpredictable and incomplete |
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Term
| What would the voiding pattern be of a pt with areflexic neurogenic bladder? |
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Definition
| sensory intact but unable to void; distended bladder |
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Term
| What woudl the voiding patter be of a pt with sensory neurogenic bladder? |
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Definition
| poor bladder sensation, infrequent voiding of large volume |
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