University:
City Colleges of Chicago
Course:
NURS 213 | Advanced Medical Surgical
Academic year:

2023
Views:

89

Pages:

1
Author:

Chasity Fowler

Spinal Cord Injury Signs & Symptoms 7 Cervical 12 Thoracic 5 Lumbar 5 4 • Cervical Injury: paralysis below neck (level of injury) • Quadriplegia: 4 limbs paralyzed Quad means 4 diplegia= sounds like paralyzed • BREATHING impaired - Life threatening Happens to a lot of sports ﬁgures • Thoracic Injury - think T for trunk of body Parapalegic (2 legs) Legs, pelvic organs • Lumbar Injury - think of double L’s Legs & Leaky bladder Sacral & Coccygeal Causes • Trauma - like a fall from a horse, or slip & fall, car crash etc. MEMORY TRICK C C L L T T CERVICAL INJURY CAN’T MOVE LUMBAR LEGS & LEAKY BLADDER THORACIC INJURY LEGS & TRUNK Critical Complications D D D DECRESED BP DEPENDENT EDEMA DYSREGULATION OF TEMP LOW NORMAL HIGH Neurogenic Shock think S for Severe hypotension (low BP) • 3 Ds • Decreased BP • Dependent edema • Dysregulation of Temp. • Autonomic Dysreﬂexia • Abnormal stimulation of the autonomic nervous of injury Surgery PHARMACOLOGY Neurogenic Shock Oxytocin EPINEPHRINE IV Fluids & Vasopressors Increase BP Steroids “-sone” Prednisone Muscle relaxers LOW NORMAL HIGH Dexamethasone Halo traction device (a crown or vest) - Key priority is Infection risk!!! - NO showers - ONLY sponge bath - Assess pin sites for infection - Red, warm, smelly drainage

Spinal Cord Injury - Simple Nursing

Related Documents

Description

Related Documents

Want to Download This Document?

Free up your schedule!

Take 5 seconds to unlock