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542 > SCI > Flashcards

SCI Flashcards

1
Q

What is the leading cause of death in sci

A

PNA

Sepsis

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2
Q

What is te average actue LOS

A

11

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3
Q

What is the average LOS in rehab

A

36

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4
Q

What does SCI cause

A

disruption in motor and sensory pathways at the site of the lesion

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5
Q

what term replaces quadraplegia

A

tetrapegia

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6
Q

Where is the damage in paraplegia

A

thoracic, lumbar, sacral

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7
Q

Where is the damage in tetrapleia

A

cervical

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8
Q

how is the lvl dignosed

A

according to motor and sensory level

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9
Q

What is a complete inury

A

complete loss or paralysis of motor and sensory function below level of lesion

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10
Q

what is an incomplete injury

A

partial preservation of motor and/or sensory function below level of lesion

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11
Q

What is affected in C1-4 injury

A

Respiratory and up

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12
Q

what is affected in c5

A

elbow flexion

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13
Q

what is affected in c6

A

wrist

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14
Q

what is affected in c7

A

triceps extension

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15
Q

what is affected at c8

A

finger flexion

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16
Q

what do you have to feel in order to have sensation

A

pin prick and light touch

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17
Q

What do you have to have for motor

A

3 and up at lvl of injury

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18
Q

What is the most common spinal cord syndrome

A

Central cord syndrome

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19
Q

What does central cord syndrome often occur with

A

falls

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20
Q

What happens in central cord syndrome

A

increased weakness in UE compared to LE

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21
Q

What is central cord syndrome associated with

A 
cervical stenosis (narrowing of spinal cord)
occurs mostly in elderly
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22
Q

What kind of injury is a brown sequard lesion

A

incomplete

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23
Q

What des anterior cord syndrome cause

A

loss of motor control, pain, and temp below injury

24
Q

What is preserved in anterior cord syndrome

A

light touch and prop

25
Q

When is anterior cord syndrome present

A

Rare

when loss of blood supply damages the anterior aspect of the spinal cord

26
Q

What does cuada equina syndrome cause

A

damage to the LMN and is a PN injury affecting the lumbosacral nerves

27
Q

What does cause equina syndrome result in

A

loss of bowel and bladder reflexes and weakness in LE

28
Q

What is the prognosis for SCI

A

better for incomplete but unpredictible pattern

29
Q

what is the key month for prognosis

A

1st 3 months

30
Q

What are complications of SCi

A 
spasticity
pain 
pressure and skin integrity
respiratory function
osteoporsis/obesity 
orthostatic hypotension
autonomic dysreflexia 
heterotropic ossification 
bowel and bladder
sexual
31
Q

Acute treatment for SCI

A

Meds
decompression of sc (traction, pressure relief)
surgery

32
Q

What is spinal shock

A

areflexia at the lowest level of the injury and below

33
Q

what does return in spinal shock demonstrate

A

hyper reflexivity below level of injury

34
Q

what are complications of respiratory function

A

limited chest expansion and endurance

limited ability to clear secretions/mucus

35
Q

what are complications of osteoporosis/obesity

A

loss of bone density in long bones leading to fractures

bone decreases and fat increases

36
Q

hen is orthostatic hpotension most common

A

T6 and above

37
Q

what causes orhtostatic hypotension

A

loss of muscle tone in trunk and LE to regulate BP

38
Q

where is autonomic dysreflexia most common

A

T6 and above

39
Q

What is autonomic dysreflexia

A

reflexive action of the ANS caused by some stimulus that prduces a sudden increase in BP from noxious stimulus

40
Q

What are symptoms of autonomic dysreflexia

A

pounding headache, anxiety, perspiration, flushing, chills, bradycardia, and nasal congestion

41
Q

What is heterotropic ossification

A

bone formation from connective tissue into calcified bone around the joint

42
Q

when is heterotropic ossification present

A

in the 1st 4 months past sci onset

43
Q

how to treat hetertropic ossification

A

ROM, positioning, edu on importance of positioning

44
Q

when is bowel and bladder function impaired

A

s2-s5

45
Q

What happens in bowel and bladder

A

lack of voluntary control, may have reflexive

46
Q

What happens in sexula function for males

A

most can have a reflexive erection unless from s2-s5

fertility dereases

47
Q

Eval for SCI

A 
First check precautions
PROM before specific MMT
Sensory testing
Wrist and hand function
endurance, oral motor control, heda and trunk control, basic adls 
est rapport, trust, goasl
48
Q

Interventions in the acute care stagw

A

positioning in bed (to prevent shoulder pain)
splinting (tenodesis, wrist cock-up)
AROM AAROM (muscle re-ed)
ADL using adaptive equip (universal cuff)

49
Q

interventions in the rehab phase

A 
wc positioning
pressure relief 
strengthening 
transfers
ADLS
AE/AT
Home eval 
Edu
50
Q

What should you work on in te C1-C4 lvl

A

AT, energy cons., respiratory fx, positioning

51
Q

What to work on at the C5 lvl

A

AE, UE ROM, Feeding, oral motor, adls

52
Q

What to work on a the C6 lvl

A

Tenodesis, splinting, ROM, edu on tenodesis

53
Q

What to work on at C7 lvl

A

transfers

54
Q

What to work on at C8 lvl

A

FM tasks

55
Q

Interventions for post rehab

A

OP tx, Long term care, SNF
Federal/local monies
orthopedic consult

56
Q

What are the top 2 reasons to be rehospitalized after an sci

A

UTI

pressure sores

542 (12 decks)

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