Med surg exam 3.docx - Remembering Knowledge am 3 ek 11 Understanding Comprehension Applying Application Analyzing Analysis Total Spinal cord injuries

Med surg exam 3.docx - Remembering Knowledge am 3 ek 11...

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am 3 Remembering Knowledge Understanding Comprehension Applying Application Analyzing Analysis Total ek 11 Spinal cord injuries C6 1 2 3 3 9 Neurogenic shock & autonomic dysreflexia 1 1 1 1 4 Traumatic brain injuries 2 2 3 3 10 Brain tumor 1 1 2 1 6 ek 12 Multiple sclerosis 1 1 2 1 5 Myasthenia gravis 1 1 2 1 5 Amyotrophic lateral sclerosis 1 1 1 2 5 Guillain-Barre 1 1 2 1 5 Hey we got this, let's get this bread.
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ek &14 Multiple Organ Dysfunction SIRS/Sepsis 1 2 2 2 6 Shock 1 1 2 2 6 Hematological disorders 1 1 1 1 4 Burns 1 2 2 2 7 Med Calc 1 1 1 3 nal cord injuries: 9 questions pes : 1. Primary : from falls, gunshots, stabbing (penetrating injury), motor vehicle accident (hyperflexion of the neck). Mostly Cervical 5 and Cervical 6 affected 4 types of primary injury a. Hyperflexion b. Compression- from a fall, for example landing on tail-bone or diving in a pool and landing on head. Patient will have hypoxia and ischemia c. Penetration- stabbing, gunshot d. Rotational injury Hey we got this, let's get this bread.
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NUMBER ONE FOCUS IS RESPIRATORY!! Any injury above the cervical vertebrae (C6) can cause respiratory issues- look for shallow breathing. AIRWAY And above c6 is autonomic dysreflexia - (ACUTE LIFE THREATENING EMERGENCY ) s/s- sweating above , cool and clammy below, nausea, vomiting, after spinal shock has subsided, feel like you have a pounding headache because ICP SIT THEM UP EMPTY BLADDER Cold air can cause this so make sure that you keep them warm C3 causes issues with diaphragm C7 affects the hands Neurological Glascow coma scale 15 - best response 8 or less - comatose client 3- totally unresponsive Cardiovascular Watch for hypotension (neurogenic shock) GI/GU Urinary retention can cause autonomic dysreflexia PRIAPISM IS BAD SIGN (persistent and painful erection) Long term complications such as depression and anger rventions Spinal immobilization - patient must be log rolled, with at least 3 people. 1 for airway and 1 for each side Quad cough (a forceful cough to excrete secretions)- this is NOT for immediate injury or pregnant woman. Listen to breath sounds Fixators- traction used to keep the head, neck and spine perfectly straight. Check for pulses and fractures. Also worry about infection! Halo: needs to stay tight, keep wrench near desk Medications High dose steroids- ensure tapering and don’t run out Atropine- to treat possible bradycardia Dopamine- to decrease preload and treat shock Surgery Decompression laminectomy Rods Hey we got this, let's get this bread.
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Removal of fragments Spinal fusion Prevention of long term complications Skin integrity Patient cannot feel their skin! At risk for breakdown and wounds. Make sure to turn them and do a very good skin assessment Motility Senses Urinary and bowel function urogenic shock & autonomic dysreflexia: 4 questions all- The autonomic nervous system i s
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