Neuromuscular Part Thirteen Flashcards
purpose of proton pump inhibitor agents
prevent erosive esophagitis
reflex bladder AKA
upper motor neuron bladder
parameters for pressure relief to prevent decubitis ulcers
four times per hour
every 15-20 minutes
for SCIs, the inability to cough effectively allows for secretions to build in the lungs resulting in what
decreased forced expiration
how is heterotopic bone formation different from myositis ossificans
MO - results from trauma to muscle tissue and presents with bony deposits within the muscle tissue
who uses static wrist-hand orthosis
C1-C5
most common cause of autonomic dysreflexia
bladder distension
a cord injury that interupts communication with the ______ can cause hypothermia
hypothalamus
symptoms of autonomic dysreflexia
sudden increase in BP
bradycardia
headache
flushing
profuse sweating
anxiety
what should be checked immediately with autonomic dysreflexia
bladder drainage system
following a SCI, what specific parts of breathing will be reduced
tidal volume
vital capacity
autonomous/nonreflex bladder AKA
lower motor neuron bladder
side effects laxative agents
nausea
abdominal discomfort
cramping
dehydration
should elastic stockings be used for DVTs
yes
because sweating doesn’t occur lower than the LOI following SCI, what is the compensation
diaphoresis above the level of the lesion
in order to sustain life after a diaphragm issue following SCI, what should be implemented
artificial ventilator
phrenic nerve stimulator
diaphragm nerve roots
C3-C5
what do anticholinergic agents do
decrease release of gastric acid
level of patients that use head/mouth stick
C3-C4, sometimes C5
what is autonomous/nonreflex bladder
only emptied by increasing intraabdominal pressure or by manually compressing the lower abdomen
purpose of head or mouth stick for SCIs and who is it used by
used by patients with quadriplegia to hold utensils or devices such as pencils
following initial hypothermia resulting from hypothalamus issue with SCI, what will happen and why
hyperthermia because of loss in sympathetic control of sweat glands
effects on fertilitiy on males and females following SCI in the lumbosacral area
males - infertile
females - no real changes
purpose of mobile arm support
helps with self-care, recreation, use of hand control in power chair
what level of SIC leads to loss of voluntary control of urination and defecation
S2-S4
below the level of the lesion in a SCI, what does NOT occur (other than motor/sensory)
sweating
side effects of anticholinergic agents
dry mouth
constipation
urinary retention
what position should the patient be while having autonomic dysreflexia and why
sit them up to lower BP
what happens to reflex after spinal shock has resolved
they return and progressively come back stronger (results in spasticity)
most common places for decubitis ulcers
sacrum
heels
trochanters
ischium
two best ways to prevent contractures for SCIs
AROM - periodically through available ROM
second best is PROM
who uses mobile arm support
patients with weak proximal UE muscles
side effects of proton pump inhibitor agents
acid rebound phenomenon (when discontinued after prolonged use)
out of all the below drugs, which would prevent a patient from participating in an outpatient setting:
anatacid agents
anticholinergic agents
laxative agents
proton pump inhibitor agents
laxatives
what is heterotopic bone formation with SCIs
formation of new bone within muscles or other connective tissue BELOW the lesion
what is reflex bladder
empties in response to a certain level of filling pressure
who can get autonomic dysreflexia
SCIs above T6
