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18 Cards in this Set
- Front
- Back
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Patient presents to the er with a cervical spine injury, suddenly the patients BP and HR drop, as the nurse you suspect?
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Neurogenic shock
(loss of sympathetic tone) |
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Total loss of sensory and motor function below the level of injury is seen with?
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Complete cord involvement
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C8 and above can cause?
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Quadripalegia
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What is the definitive number for ventilation with spinal cord injury?
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C4 and above
Below this determined by phrenic nerve involvement |
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What medication helps with gastric distention?
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Reglan- improves emptying
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At what point is the sympathetic nervous system impaired?
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T6
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Patient is experiencing extreme bradycardia, as the nurse you suspect an order for?
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Atropine
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Excessive NG suctioning can cause what?
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Alkalosis
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Adjustment of the body temperature to room temperature is called?
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Poikilothermism
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What is the criteria for early surgery with spinal cord injury?
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Evidence of cord compression
Progressive neurological deficit Compound fractures Bony fragments Penetrating wounds of spinal cord or surrounding stuctures |
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What medication given within 8 hours of injury can possibly reduce secondary injury by reducing inflammation and edema?
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Solumedral (methylprednisolone)
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What is the main vasopressor that is given with spinal cord injury?
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Dopamine
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The family of a patients on kinetic therapy following a spinal cord injury, expresses concern about the swelling of their loved ones face, as the nurse you explain?
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That this is normal, and will go away
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What is the antispasmodic drug of choice in spinal cord injury patients?
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Baclofen
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What is the most common precipitating factor of autonomic dysreflexia?
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Distended bladder or rectum
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Patient has a "throbbing headache" as the nurse you should?
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Take BP, may have autonomic dysreflexia
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How should you position a patient experiencing autonomic dysreflexia?
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HOB at 45 degrees or more or sit up.
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A patient has autonomic dysrelexia because of a distended bladder, as a nurse you would?
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Immediately catheterize
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