Medical management and advances in research Flashcards
Symptoms of neurogenic shock
hypotension
bradycardia
hypothermia
Spinal shock
can last up to 2 weeks after injury
flaccid paralysis and areflexia below level of injury
return of reflex activity signifies the end of spinal shock
Can you assess ASIA during spinal shock stage?
no
Can you do PT during spinal shock?
yes, but not if there’s traction with a halo
Medical management of spinal shock
immobilization
spinal stabilization
Signs of orthostatic hypotension
lightheaded
dizziness
palor
syncope
Why are people with SCI prone to arrhythmias?
decreased control of the sympathetic nervous system T1-T5
What is the most common CV complication?
DVT
increased risk with tetraplegia and complete injury
Acute CV problems
bradycardia
hypotension
Chronic CV problems
reduced exercise tolerance
hypotension
peak HR 120-125 bpm
autonomic dysreflexia
What level of SCI is prone to autonomic dysreflexia?
injuries T6 and above
Signs/symptoms of autonomic dysreflexia
increase in systolic bp 15-20 mmHg above baseline pounding headache sweating or flushing above/below lesion goosebumps anxiety increased temperature skin rash, blurry vision, congestion
What should you do if someone goes into AD?
get them upright to decrease BP loosen clothing to decrease temperature Check BP Check bladder first, attempt to remove noxious stimuli Call nursing or 911 if indicated
Causes of AD
bladder distension uti blocked catheter constipation ulcers ingrown toes, burns, tight clothing, cramps, fractures, Estim, sex
Respiratory complications with SCI
aspiration
atelectasis- aveolar collapse
pneumonia
C3 and above ventilator dependent
