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22 Cards in this Set
- Front
- Back
- 3rd side (hint)
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After SCI, how soon can paralytic ileus develop?
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72 hours
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SCI & paralytic ileus: Risk factors for what?
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UTI - Urinary tract infection
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Spinal Cord Injury & respiratory complications: Risk factors for what?
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pneumonia, pulmonary emboli, atelectasis
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Autonomic Dysreflexia - Interventions include:
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Client in sitting position
Notify PCP Loosen tight clothing Check foley for kinks Check bladder/bowel for obstruction Check room temp HYDRALAZINE/Apresoline |
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S/S Autonomic Dysreflexia
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Sudden severe throbbing HA
Severe, rapid HTN Bradycardia Flushing above level of injury Pale below level of injury Sweating, nausea, blurred vision Piloerection |
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Spinal Cord Injury & cardiovascular concerns
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Bradycardia, HOTN, SB/P < 90, hypOthermia may lead to dysrhythmias
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Spinal shock S/S
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flaccid paralysis
loss of reflex below LOI bradycardia HOTN |
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Spinal shock may last from ____ to ____; its reversal is indicated by the return of
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Few days to several months;
Return of reflex activity |
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Types of Cervical Injuries
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Anterior cord syndrome
Posterior cord syndrome Brown-Sequard syndrome Central cord syndrome |
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Anterior cord syndrome characterized by:
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Below LOI: Lost motor function, pain & temp
Retains touch, position, vibration |
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Brown-Sequard syndrome characteristics:
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Probably penetrating injury causes hemisection of SC;
Ipsilateral losses: motor function, proprioception, vibration, deep touch Contralateral losses: pain, temp, light touch |
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Central cord syndrome characteristics
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Loss of motor function more pronounced in upper extremities
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Spinal Cord Injury Nursing Diagnoses:
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Ineffective Tissue Perfusion
Ineffective Airway Clearance Impaired physical mobility Impaired Elimination Impaired Adjustment |
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Major Concerns of Spinal Cord Injury
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DVT
Sepsis Hypoxemia R/F pneumonia, atelectasis |
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Spinal Cord Injury non-surgical interventions:
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Assess VS, neuro status
Opitmal body alignment (traction, collars) |
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Drug Therapy for Spinal Cord Injury
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Dextran (plasma expander)
Atropine sulfate (bradycardia) Intropin (HOTN) |
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Right Cerebrial hemisphere controls:
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Visual, spatial awareness, proproception
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A person with RIGHT Hemisphere stroke may:
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Be unaware anything is wrong, be disorientated. Personality changes may present & poor judgement
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A person with LEFT Hemisphere stroke
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Presents with:
aphasia alexia agraphia |
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Examples of anticoagulants:
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Lovenox, LMW heparin, coumadin
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PT & PTT timed goals
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1.5 - 2 X base
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INR monitors for what drug
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warfarin (3.0-4.5) X baseline
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