Amy_Olson_Solving_the_Puzzle_of_Autonomi.ppt

Amy_Olson_Solving_the_Puzzle_of_Autonomi.ppt - Amy J Olson...

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Solving the Puzzle of Autonomic Dysreflexia Amy J. Olson RN BSN Alverno Graduate Student [email protected]
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Objectives of this Tutorial: Learner will be able to explain the pathophysiology of autonomic dysreflexia (AD) and the alteration to the generalized stress response. Learner will identify signs and symptoms of AD. Learner will be able to list the common causes of AD.
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Objectives continued: Learner will be able to explain how aging, inflammation, and genetics alter the AD presentation and process. Learner will identify nursing outcomes that are influenced by properly managing and preventing AD. (Microsoft office clip art, 2007)
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Navigation through the Tutorial: Use this button in the upper right corner to access the menu: Use this button in the lower right corner to go back a page: Use this button in the lower right corner to go forward a page: Click on any underlined words to receive a definition, answer, or to be taken to another slide for more information. Use this button in the upper left corner to go back to the very last slide you viewed: (Microsoft Office Clip Art, 2007)
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Menu Click on the topic to go directly to that page within the tutorial: Anatomy Patho Signs & Sympto ms Case Study Causes Epidemiology Inflammation Nursing Intervention s Aging Genetics Nursing Outcom es Altered Stress Response References
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Review of the Anatomy of the Nervous System: (Porth & Matfin, 2009) (Microsoft Office Clip Art, 2007)
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Anatomy of the Peripheral Nervous System (PNS) Click on the question for the answer: (Porth & Matfin, 2009) Which system is responsible for Autonomic Dysreflexia?
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The Normal Sympathetic/Parasympathetic Responses: (Lewis et al, 2000, p. 1591) Negative feed back loop
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What is Autonomic Dysreflexia (AD)? An amplified sympathetic response from a stimulus (pain, irritant, etc.) that cannot be resolved by the parasympathetic system due to a blockage in the spinal cord from an injury above or at the level of T6 . (Travers, 2009) (Microsoft Office Clip Art, 2007)
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Spinal Anatomy Review: Chart reproduced with permission from the site owner of www.spinalinjury.net Image available at: http://www.spinalinjury.net/html/_spinal_cord_101.html Click the corresponding arrow on the diagram where autonomic dysreflexia can occur if the injury is on or above this level? Exactly! T6 or above! No review this slide No review this slide No review this slide Yes T6 and above! Yes anything T6 and above!
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Mr. Z Mr. Z is your patient today! He is a 65 year old male who is a C3/C4 vent dependent quadriplegic from a car accident 37 years prior. He has been in your ICU for the past week due to urosepsis (from Gram negative E-coli). Is his spinal injury high enough to get Autonomic dysreflexia? Yes Right, T6 and above! No Are you sure? Go back to this slide!
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Mr. Z continued….
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