Autonomic Dysreflexia

Question 1

What level does autonomic dysreflexia happen?

Answer 1

Occurs with lesions above T6-T7 the literature will vary

Question 2

Most ______ during early rehab but _____ can persist

Answer 2

Common

episodes

Question 3

Cause or precipitating factors:

Answer 3

Acute onset of autonomic activities from noxious stimuli below the level of the lesion. Examples:
-bladder distention (most common), rectal distention, noxious cutaneuous stimuli, kidney malfunction, urethral or bladder irritation, environmental temperature changes, passive stretching of hip, tight clothing or straps

Question 4

Symptoms:

Answer 4

• Hypertension, bradycardia/tachycardia, Headache, profuse sweating above level of lesion, increased spasticity, restlessness anxiety, vasoconstriction below the lesion
• Vasodilation (flushing) above the lesion, dilated pupils, nasal congestion, piloerection (bristling of hairs), blurred vision, dyspnea, nausea/vomiting.

Question 5

Treatment:

Answer 5

• Medical emergency: contact RN immediately & be sure MD is notified
• Assess urine drainage and made necessary adjustments
• Pt from supine to sitting (elevate head)
• Check for: tight clothing, abdominal binders, any restricting mechanisms
• WIth continuing symptoms: bladder irrigation, assess fro bowel impaction, drug therapy (antihypertensives)

Question 6

Documentation:

Answer 6

-Pt symptoms, precipitating stimuli and educate pt/significant others