Spinal Cord Injuries - NEUROMUSCULAR DISORDERS Amy L Huff...

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NEUROMUSCULAR DISORDERS Amy L. Huff, MSN, RN Spring 2015 Martin Methodist College
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SPINAL CORD INJURIES May result in loss of: motor function sensation reflex activity bowel/bladder control Complete: spinal cord is severed or damaged in a way that eliminates all innervation below level of injury Incomplete (more common): allows some function or movement below level of injury
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MECHANISM OF INJURY (MOI) Force applied to the spinal cord Vertebral fracture, dislocation, subluxation Penetrating trauma – gunshot, knife wound Causes 1 – MVA 2- falls Acts of violence (GSW) Sports injuries Diseases, such as tumors Primary injury Hyperflexion Hyperextension Axial loading or vertical compression Excessive rotation
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MECHANISM OF INJURY (CONT) Secondary injury – worsens the primary injury Hemorrhage Ischemia Hypovolemia Neurogenic shock
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HISTORY Data regarding accident and MOI (landing position, symptoms experienced, etc) Immobilization devices used Medical history with emphasis on questions regarding ortho/spine Arthritis Osteoporosis Congenital deformities Surgeries
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PHYSICAL ASSESSMENT ABCs Respiratory assessment priority with cervical injuries C3-5 innervate phrenic nerve (diaphragm) Glasgow Coma Scale to assess LOC
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