Spinal Cord Disorders + Disordes of ANS/PNS

Question 1

Acute spinal cord injury initially produces a state of spinal shock that is characterized by what?

Answer 1

Flaccid muscle paralysis with loss of sensation below the level of injury

Question 2

Manual in-line stabilization

Answer 2

Assistant’s hands are placed on each side of the pt’s face, the head is grasped w/ fingertips resting on the mastoid process, & downward pressure is applied against a firm table surface to hold the head immobile in a neutral position

Question 3

Why should body temperature be monitored and manipulated?

Answer 3

pts tend to become poikilothermic in dermatomes below the level of the spinal cord lesion

Question 4

When can you no longer give sux to spinal cord injury?

Answer 4

24 hrs after the injury

Question 5

Hallmark of autonomic hyperreflexia

Answer 5

HTN and reflex bradycardia

Question 6

How do you evaluate recurrent laryngeal nerve after ACDF sx?

Answer 6

Ask pt if they have any hoarseness or stridor

Question 7

Tx for multiple system atrophy (MSA)

Answer 7

compression stockings, consumption of a high Na diet to expand plasma volume, administration of vasoconstriction a1 agonists such as midodrine or a2 antagonists (Yohimbine)

Question 8

Anesthetic drugs for MSA

Answer 8

Phenylephrine, Vec, Cis, Ketamine

Question 9

Successful sympathectomy will produce vasodilation in the ____ upper extremity, documented by what?

Answer 9

ipsilateral; an immediate increase in temp of 1 degree C or more in that extremity

Question 10

characterized by sudden onset of skeletal muscle weakness or paralysis that typically begins in the legs and spreads cephalad over the ensuing days to involve the arms, trunk, and face

Answer 10

Guillain-Barré syndrome

Question 11

Is sux okay in Guillain-barre?

Answer 11

No, nothing that will cause histamine release