am 3RememberingKnowledgeUnderstandingComprehensionApplyingApplicationAnalyzingAnalysisTotalek 11Spinal cord injuriesC6 12339Neurogenic shock &autonomic dysreflexia11114Traumatic brain injuries223310Brain tumor11216ek 12Multiple sclerosis11215Myasthenia gravis11215Amyotrophic lateralsclerosis11125Guillain-Barre11215Hey we got this, let's get this bread.
ek&14Multiple Organ DysfunctionSIRS/Sepsis12226Shock11226Hematological disorders11114Burns12227Med Calc1113nal 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.Hyperflexionb.Compression- from a fall, for example landing on tail-bone or diving in a pool and landing on head. Patient will have hypoxia and ischemiac.Penetration- stabbing, gunshotd.Rotational injuryHey we got this, let's get this bread.
●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 angerrventions●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○RodsHey we got this, let's get this bread.
○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 functionurogenic shock & autonomic dysreflexia: 4 questionsall- The autonomic nervous system is