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5 Cards in this Set
- Front
- Back
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Treatment for ICP? |
Osmotic diuretics; manitol, glycerol, urea) are administered to remove fluid from the body, to reduce fluid from the brain. Electrolytes are monitored qh6, as mannitol and diuretic action can cause electrolyte imbalances. Furosemide Lasik are sometimes also given. And indwelling urinary catheter is inserted to monitor output. Dexamethasone decadron may be given to decrease the inflammation and cerebral edema if the ICP is caused by a brain tumor or abscess. Histamine h2 receptor blockers or proton pump inhibitors are given to protect the gastric mucosa. With the head of the bed at 20 to 30 degrees, the head and neck must be kept position midline so that venous drainage in the body is not restricted. Hip flexion should be less than 90 degrees. Rolled washcloth, towels, or trochanter rolls can be use two positions |
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What happens if spinal column injured at C3 and above results? |
No respiratory function, usually fatal unless immediate emergency help is available to establish respiration quadriplegia. ** restoration stimulated with phrenic pacemaker. Can manipulate electric wheelchair with breath, chin, or voice control.** |
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What happens if spinal cord injured at C5? |
Partial shoulder movement, partial elbow movement, can turn head. ** Able to move self in electric wheelchair for short distances.** |
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Treatment of spinal cord injured? |
Traction to immobilize the affected vertabrae and maintain the alignment. ** Crutchfield or gardner- Wells tongs with ropes, pulleys, and weights, or a halo ring in fixation pins. |
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Treatment of spinal cord injury; Respiratory & Immobilized? |
A) Intubation and mechanical ventilation or alter required to sustain life in patients with an injury. Mechanical ventilation relieve the muscle work of breathing and conserve the patient energy during the emergence of the injury. And oral airway maybe place is a tracheotomy isn't necessary. B) Immobilization RN concerns? Place the patient in the special lateral rotation bed that is designed to prevent the problems of in mobility while maintaining traction. |
