NCLEX 26 Review on Spinal Cord Injury
– a trauma in the spinal cord (partial or complete) that traumatize and disrupt the nerve tracts and neurons within our system. A spinal cord injury can be classified as either complete or incomplete
PATIENT WITH SPINAL CORD INJURY ASSESSMENT:
ACUTE RESPIRATORY FAILURE
COMPROMISED RESPIRATORY FUNCTION
SENSORY AND MOTOR PARALYSIS WITHIN OR BELOW LEVEL OF INJURY.
Spinal Shock
– is also called a neurogenic shock.
Assessment includes:
- DECREASE OR LOSS OF REFLEX ACTIVITY, FLACCID PARALYSIS, BRADYCARDIA.
- USUALLY OCCURS WITHIN SEVERAL HOURS RIGHT AFTER INJURY.
- LOSS MOVEMENTS OF MUSCLES (FLACCID PARALAYSIS), BOWEL AND BLADDER.
Autonomic Dysreflexia
– also known as autonomic hyperrefelexia.
– caused by stimulus to the bladder or bowel
– Try to limit the catheterization of spinal cord patients to once every 12-14 hrs.
Asessment includes:
- HYPERTENSION (SEVERE)
- HEADACHE (THROBBING)
– also known as autonomic hyperrefelexia.
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