Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
13 Cards in this Set
- Front
- Back
|
Class I Hemmorrhage |
up to 750 ml blood 15% of total blood volume pulse rate < 100 systolic normal pulse pressure normal to increased respiratory rate 14-20 Urine output > 30 CNS mental status slightly anxious initial fluid replaement crystalloid |
|
|
Class II Hemorrhage |
750 to 1500 ml 15-30% Pulse rate 100-120 Systolic BP normal Pulse Pressure decreased Respiratory rate 20-30 Urine output 20-30 decreased CNS mildly anxious replacement crystalloid |
|
|
Class III Hemorrhage |
Blood loss 1500 to 2000 blood loss 30-40 % Pulse rate 120-140 systolic BP decreased Pulse presure decrased Respiratory Rate 30-40 Urine Output 5-15 CNS anxious confused replacement crystalloid and blood |
|
|
Class 4 Hemorrhage |
Blood loss > 2000 Blood loss >40% Pulse rate > 140 Systolic BP decreased Pulse Pressure decreased Respiratory rate > 35 Urine output negligible CNS confused lethargic fluid replacement crystalloid and blood |
|
|
Cortico Spinal tract |
posterior lateral segment of cord controls motor on same side of boyd |
|
|
Spinothalamic tract |
anterolateral aspect of cord pain and temperature opposite side of the body |
|
|
Dorsal Column |
posterior medial aspect of cord position sense (proprioception) vibration sense and some light touch from the same side of body |
|
|
Glasgow Coma Scale GCS Eye opening |
4- spontaneous 3- to speech 2- to pain 1- none |
|
|
Glasgow Coma Scale GCS Verbal 5 |
5-Oriented 4-Confused Conversation 3-Innapropriate words 2- incomprehensible sounds 1-None |
|
|
Glasgow Coma Scale GCS Best Motor Response |
6-Obeys command 5-Localizes Pain 4-Flexion Withrdawl to pain 3-Abnormal Flexion Decorticate 2-Extension Decerebrate 1-None (Flacid) |
|
|
Parapalegia loss of pain and temperature retains position, vibration, and deep pressure |
Anterior Cord Syndrome infarction of cord by anterior spinal artery spinothalamic- anteromedial is pain and temperature
poorest prognosis of incomplete injuries |
|
|
Penetrating trauma to cord ipsilateral motor loss loss of position sense contrallateral loss of pain and temperature beginning 1-2 levels below the injury |
Brown Sequard Syndrome Hemisection of cord gets all three motor loss- cortical spinal same side Dorsal colum- proprioception, vibration spino thalamic- pain and temperature but opposite side 1-2 levels below |
|
|
Greater loss of motor strength in upper extremities over the lower extremities sensory loss
hyperextension injury, or forward fall, may have some degenerative osteo changes |
Central Cord Syndrome
vascular compromise of anterior spinal artery center of cord is arms and ahnds lower extermeites first bladder then proximal upper extremities then hands for recovery
porgnosis is better than others |
