Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

618 Quiz 3 > SCI > Flashcards

SCI Flashcards

1
Q

SCI : Statistics

A

Prevalence in 2014: 276,000
Age in 2010 : 42 (29 in the 70’s)
80% are mail
MVA, Falls, Violence, Sports, Uncertain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Hospital Stay : Acute

A

14-28 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Hospital Stay : Rehab

A

2-4 months

92% are d/c to non-institutional residences

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Spinal Shock

A

Period of swelling around S.C. (spinal cord) -> affects sensory & motor in/outputs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

American Spinal Injury Association (ASIA) : Motor Level, C5

A

Elbow flexors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

ASIA : C6

A

Wrist extensors

Decent elbow, hand function but limited trunk control.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

ASIA : C7

A

Elbow extensors

Can do depression transfers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

ASIA : C8

A

Finger flexors

Results in increased function

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

ASIA : T1

A

Finger abduction

Lession is at nipple area

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

ASIA : C4

A 
Shoulder motion (i.e. shrug) 
No trunk control
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

ASIA : Sensory Level

A 
Key sensory points along dermatome 
Light touch & pink prick
0-absent 
1-impaired
2-normal
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Sensory Testing

A

Acute: Usually tested every shift by a nurse or neurologist
Rehab: once stabilized decreased monitoring occurs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

ASIA : T6

A

Sports chairs, low back w/c, increased trunk control

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

ASIA : L1

A

Pt. starts to walk more

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Respiratory Impairment & SCI

A

A direct relationship exists between the level of cord injury and the degree of respiratory dysfunction
Leading cause of hospital re admissions & death

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Respiratory : C1 or C2

A

vital capacity is only 5-10% of normal & cough is absent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Respiratory: C3-C6

A

vital capacity is 20% of normal, cough is weak/ineffective

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Respiratory : T2-T4

A

vital capacity is 30-50% of normal, cough is weak

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Respiratory : Lower level injures

A

Respiratory function improves

20
Q

Respiratory : T11

A

respiratory dysfunction is minimal; vital capacity is essentially normal & cough is strong

21
Q

Brown Sequard Syndrome

A

Damage to 1/2 cord (i.e. stab wound, incomplete injury)
Ipsilateral propioceptive & motor loss (R sided injury, No movement on R side)
Contralateral loss of pain & temp (R sided injury, no temp/pain on L)

Pt. positioning will be difficult
Increase pts visual skills & compensatory strategies

22
Q

Central Cord Syndrome

A

Incomplete Injury
Cervical region
Damage to center part of cord (most often d/t tremor)
UE weakness > LE weakness

May be walking w. crutches or walker

23
Q

Anterior Cord Syndrome

A

Variable motor & sensory loss
Intact propioception

Whiplash injuries

24
Q

Cauda Equina Syndrome

A

Bowel & bladder issues

Sacral & Lumbar nerve/roots

25
Q

Autonomic Dysreflexia

A

T6 & Above
Uncontrolled sympathetic activity flowing from SC below lesion level.
-bladder infection, over distended bladder/rectum
-sexual stim, abdominal pressure, pressure sores

26
Q

Autonomic Dysreflexia : Sx

A

Severe, pounding headache
Sweating above lesion level
Stuffy nose, flushing, bradycardia

27
Q

Autonomic Dysreflexia : Tx

A

Elevate head, eliminate offending stim
Positioning to prevent pressure sores
Skin checks, loosen clothing/constrictive devices
Check catheter for kink, monitor BP

28
Q

Orthostatic Hypotension : Sx

A

Blood pressure drops dangerously low in response to upright positioning, light headedness, pallor
visual changes, T6 and above.

Seen during supine->sit

29
Q

Orthostatic HTN : Tx

A

Recline pt. so head is below level of heart
Lift legs, tilt table, monitor Bp, call nurse & MD
Put pt. to bed with LE’s elevated above heart

30
Q

Surgical stabilization : Cervical Spine

A 
Philadelphia collar (23-24 hrs per day) 
SOMI Brace (sternal-occipital mandibular mobilizer) usually 6-8 weeks
31
Q

Surgical Stabilization: Thoracolumbar Spine

A

Screws or rods

32
Q

Surgical Stabilization : Transpedicular screws & Harrington Rod

A

May be impoloized or have limited rotation/lateral flexion

33
Q

Nonsurgical Stabilization : Cervical Spine

A

HALO Traction : 4 pins inserted into skull

6-12 weeks

34
Q

Pressure Relief

A

Increase risk for skin breakdown

Constant WS pressure relief schedule

35
Q

Bladder & Bowel : Initial TX

A

During spinal shock both are flaccid
Prevention of bladder distention
Bowel impaction
Bladder & bowel reflexes return 1st marking the end of spinal shock

36
Q

Bladder & Bowel : s/p Spinal Shock

A 
UMN: Refleogenic, automatic, spastif 
Relex emptying of bladder/bowel 
Injuries above T2-L1
LMN: areflexogenic, atonic, flaccid
Manual emptying of bladder/bowel 
Paraplegia lessions below L1
37
Q

Bowel & Bladder & OT

A

Pt. ed on leg spreaders & mirrors
Limited hand function related to self-cathing, typically cant follow the streal techniques

OT: work on positioning, adaptive techniques & fine motor skills

38
Q

Bladder Management

A

Controlled by S2-5 spinal segments
Complete lessions at & above S2 lose ability to void voluntarily
Indwelling catheter, intermittent catheterization

39
Q

Bowel Management

A

Oral/suppository meds

Digital stim

40
Q

Bladder Management & OT

A

Clothing management, body positioning
Set-up & cleanup of equipment
Disposal of urine
Cleanup or self

41
Q

Other problems

A 
Fatigue (d/t respiratory decline) - prioratize pt. routine 
DVT : calves & triceps 
Pain
Heterotopic ossification 
Depressions
42
Q

SCI General Functional Tests

A 
Minnesota 
Upper extermity function test (UEFT) 
Purdue Prgboard Test 
Jebsen test of hand function
9 hole peg test 
Smith hand function eval 
Box & Block Test (BBT) 
Physical Capacities Eval of hand skills (PCE) 
Sollerman hand function test
43
Q

Specifically designed for tetraplegic persons

A 
Standardised object test (SOT) 
Vandenberge hand function test 
Grasp & Release Test (GRT) 
Capabilities of UE Instrument 
Thorson's function test
44
Q

SCIM

A

Spinal cord independence measure

-in tetraplegic pt.’s, the FIM missed 22% of the functional changes dictated by the SCIM

45
Q

Assessment & Tx

A

Occupation Hx (living Envt- accesability)
BAD & IADL
Trunk balance
A/PROM & Muscle strength (biomechanical approach)
Pain (Modalities)
Endurance

Make whatever muscles that can be used stronger b/c they will need to compensate for lost innervation

46
Q

Assessment & Tx Continued

A

Hand function (pinch & grasp) (splinting0
Leisure
Communication
Bowel & Bladder
Mobility
Vocation, school, home & community access

618 Quiz 3 (5 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions