SCI pathology Flashcards
The 3 most common sequelae to SCI are___
ischemia, edema, and demyelination/ necrosis of axons >scar tissue
spinal shock is a TEMPORARY phenomena typical in SCI levels___
T6 and above
spinal shock occurs in the ___ stage of recovery.
hyperacute/ acute
spinal shock is hypothesized to be a result of loss of _____
descending sympathetic tone
spinal shock is characterized by the hypofunction of
spinal reflexes, voluntary motor control, sensory input, and autonomic control (BP, HR, low temp, venous stasis)
the reflexes are typically first to return afetr a state of spinal shock
sacral/ anal reflexes
while spinal shock is the hypofunction of the autonomic system, ____ is an overactive response
autonomic dysreflexia
POUNDING HA, increased BP, bradycardia, sweating above injury, skin blotching are symptoms are trademark for _____
autonomic dysreflexia
the most common trigger for autonomic dysreflexia is ____
a full bladder
If a patient is experiencing autonomic dysreflexia, the immediate response should be
S.C.C.S
sit, check catheter and clothing, skin inspection
10 min unresolved->emergency response
spasticity is most common with this regional level of SCIs
cervical
this spinal level is a typical cutoff for normal ventilation and respiratory function
T10. But also remember that “C3-C5 keep the diaphragm alive”
what are our 4 management options for bladder incontinence
medication
external collection
intermittent catheterization
surgery (superpubic cath or bladder augmentaiton )
what are 3 options for bowel incontinence?
scheduling
digital stimulation programs
bowel suppositories
SCIs above T6 have increased risk of these 2 symptoms related to hemodynamic instability. They are often managed w/ abdominal binders, Ted stockings, fluuid regulation,etc.
bradycardia/OH,
