11 July: Med Manage of SCI

Question 1

four things for pain managment:

Answer 1

1. difficult process
2. people just want meds
3. want to modify activities
4. self evaluation of what causes and reduces pain

Question 2

list a MAJOR concern for the spinal cord:

Answer 2

UTI

Question 3

UTI affects what:

Answer 3

overall health adn health care costs of individuals

why because autonomic dsyfreflexia is life threatenign
it affects ADLs majorly
and catheteres cost money

Question 4

symptoms include: 
fever chills nausea 
headache 
incrased spasms 
extraordinary pain or burning sensation 
AD: autonomic dysreflexia

Answer 4

S/S OF A URNIARY TRACT INFECTION

Question 5

treatment of a UTI:

Answer 5

timed voiding, meds, antibiotics, catheterization

Question 6

types of catheters:

Answer 6

intermittent, indwelling, condom catheters ( the women version too)
foley is indwelling
suprapubic: it goes through the groin not the urthera point

Question 7

side effects of catheteres:

Answer 7

RISK OF UTI: indwelling

skin breakdown and maceration from condom catheters

Question 8

constipation def:

Answer 8

decrease in frequency of person’s bowel movements

Question 9

abdominal sweeling or bloating and /or discomfort or pain
leakage of mucus form rectum
autonomic dysreflexia
greater than 30 min wait between insertion of suppository adn initiation of bowel movement s
ahr dbowel movemetns
pain or bleedin gfrom hemorrhoids
bowel program takes longer than usual for client or takes more than 60 minutes

Answer 9

S/S OF CONSTIPATION

Question 10

age for increase risk of Constipation:

Answer 10

75 years of age

Question 11

prevent and remedy of constipation:

Answer 11

education
exercise
fluids
diet

Question 12

pressure sores def:

Answer 12

areas of skin or underlying tissue that is dead or dying as a result of the loss of blood flow to the area

Question 13

aging 
circulatory problems 
skin disorders 
disease 
- diabetes 
- cancer 
weight 
- overweight 
- underweight

Answer 13

RISK FACTORS OF PRESSURE SORES

Question 14

early sign of pressures sore includes:

Answer 14

appearance of red areas, or red spot on the skin which does not clear within 30 minutes

Question 15

def of heterotopic ossification:

Answer 15

calcium deposits in the form of mature bone in soft tissue

Question 16

HO is more common after

Answer 16

TBI

Question 17

when does HO typically happen

Answer 17

1-3 mon post injury

Question 18

symptoms of HO:

Answer 18

limited ROM
swelling and redness in joint area
pain

Question 19

treatment of HO

Answer 19

avoid aggressive PROM/ Stretching / Exercise
medication to provide relief from pain/inflammation
surgical removal after maturation of bone

Question 20

bad way to explain HO

Answer 20

THERE ARE BONES GROWING IN PLACES BONES SHOULDNT BE GROWING

Question 21

bones need two things

Answer 21

weight bearing and stress

Question 22

when does bone mass loss start?

Answer 22

early as 30 hours of immobolity

Question 23

prevention methods

Answer 23

weight bearing exercises 
active muscle contraction 
vitamins 
HRT 
calcium

Question 24

stage 1

Answer 24

skin not broken

skin will stay RED when you press down and NOT turn White

Question 25

stage 2

Answer 25

gets into the first two layers of skin

adipose tissue inflamed

Question 26

stage 3

Answer 26

ALL THE SUPERFICAL LAYERS ALL THE ADIPOSE AND NOW WE ARE AT MUSCLE BABY !!!
- crater

Question 27

stage 4

Answer 27

DESTRUCTION OF SOFT TISSUE STRUCTURES: WOW BABY ITS SHINY AND AFFECTS BONY STRUCTURES
- starting to spread too to other areas

Question 28

prevention of Osteoporosis:

Answer 28

weight bearing exercises 
active muscle contraction 
vitamins 
HRT 
calcium