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19 Cards in this Set
- Front
- Back
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nursing care for spinal fusion
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log roll to turn
monitor for CSF leak - check surgical dressing q2-q4h monitor for paralytic ileus |
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Parkinson's Disease
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damage or loss of dopamine-producing cells of substantia nigra
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S/S of Parkinson's
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gait disturbances
posture problems problems w/ voluntary muscles |
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3 cardinal signs of Parkinson's
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tremor (at rest)
rigidity bradykinesis |
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treatment of Parkinson's
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levodopa
sinemet |
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Incomplete lesion
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sensory or motor function intact below level of injury
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complete lesion
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total loss of voluntary motor and sensory control at level of injury
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cervical vertebrae needed to keep diaphragm going
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C3, C4, C5
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Landmarks on anterior body surface used to locate vertebrae
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clavicle - C4
Nipple line - T4 umbilicus - T10 Groin crease - L1 |
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effects of central cord syndrome
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motor ability affected
weakness in arms |
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effects of anterior cord syndrome
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motor paralysis below level of injury
loss of pain, temp, touch |
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effects of posterior cord syndrome
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loss of:
position sense light touch vibration |
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Brown Sequard syndrome
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loss of motor function, touch, pressure, position sense
loss of pain, temp on opposite side of body where motor function is preserved |
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spinal shock
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unopposed parasympathetic tone
vasodilation vagus nerve stimulation poor temp control absent refexes to bowel/bladder - risk of paralytic ileus |
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manifestations of spinal shock
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vasodilation
vagus nerve stimulation poor temp control absent DTR's |
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autonomic dysreflexia
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complication of injury at T7 or above
sympathetic response causing a reflex vasoconstriction below level of injury |
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symptoms of autonomic dysreflexia
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vasodilated in upper body (or above level of injury), yet vasoconstricted below level of injury
bradycardia extreme HTN and headache |
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nursing care for autonomic dysreflexia
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ABC's
monitor for respiratory failure (cord edema) monitor for DVT, edema LMWH splints for foot drop methylprednisone in large doses w/in 8 hrs of injury |
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S/S Parkinson's
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cogwheeling
pinrolling shoulder pain shuffling gait weak speech/dysphagia sweating depression dementia |
