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Concept Synthesis Exam > Spinal Cord Injury > Flashcards

Spinal Cord Injury Flashcards

1
Q

what kills nerve cells following a spinal cord injury

A

excessive release of neurotransmitters

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2
Q

an injury above what level leaves you paralyzed and unable to breathe on your own

A

above C4

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3
Q

tetraplegia AKA

A

quadraplegia

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4
Q

procedure in which a small balloon is injected in the area of a fractured vertebrae and cement is injected into the balloon

A

kyphoplasty

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5
Q

impairment scale: A=complete

A

no motor or sensory is preserved in sacral segments

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6
Q

impairment scale: B=incomplete

A

sensory, but not motor is preserved below injury

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7
Q

impairment scale: C=incomplete

A

motor is preserved below injury with weakness in more than 1/2 of key muscles

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8
Q

impairment scale: D=incomplete

A

motor is preserved below injury with weakness in at least 1/2 of key muscles

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9
Q

impairment scale: E

A

normal

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10
Q

innervate abdominal and thoracic organs

A

sympathetic fibers

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11
Q

innervate smooth muscles of the bowel, bladder, and reproductive organs

A

parasympathetic fibers

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12
Q

complete loss of skeletal muscles fxn, bowel and bladder tone, reflex fxn, and sensory fxn

A

spinal shock

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13
Q

in what type of shock is temperature control and the ability to perspire lost

A

spinal shock

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14
Q

type of shock that results from spinal cord injury causing severe vasodilation

A

neurogenic

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15
Q

most common category of shock resulting from SCI

A

distributive—vasogenic

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16
Q

types of vasogenic shock

A

anaphylactic
septic
neurogenic

17
Q

s/s of neurogenic shock following SCI

A

vasodilation
bradycardia
hypotension
loss of venous return

18
Q

priority assessment/interventions following SCI

A

immobilization

airway assessment

19
Q

common mgmt of SCI

A

immobilization
drug therapy
surgery

20
Q

commonly used drug for SCI

A

methylprednisolone (solumedrol)

21
Q

are VS typically decreased or increased in SCI

A

decreased

22
Q

good indicator of paralytic ileus following SCI

A

absent bowel sounds

23
Q

SCI syndrome: ipsilateral paralysis, loss of touch, pressure, and vibration
contralateral loss of pain and temp

A

brown sequard syndrome (lateral cord)

24
Q

SCI syndrome: loss of pain, temp, and motor fxn noted below level of lesion. light touch, position, vibration remain in tact

A

anterior cord syndrome

25
Q

SCI syndrome: more deficits in upper extremities, B/B dysfunction variable but may be completely preserved

A

central cord syndrome

26
Q

possible respiratory complications in acute phase of SCI

A

PE
atelectasis
pneumonia

27
Q

possible neuro complications in acute phase of SCI

A

pain

spinal shock

28
Q

possible cardio complications in acute phase of SCI

A

orthostatic hypotension

DVT

29
Q

possible musculoskeletal complications in acute phase of SCI

A

contractures

pressure ulcers

30
Q

T or F: cervical collars often strengthen neck muscles and can be worn for long periods of time

A

FALSE, they weaken muscles

31
Q

hyperreflexia or exaggerated sympathetic response to noxious stimulus

A

autonomic dysreflexia

32
Q

vasoconstriction or vasodilation in autonomic dysreflexia

A

SEVERE vasoconstriction

33
Q

sxs of autonomic dysreflexia

A 
severe HTN
HA
diaphoresis
goosebumps
nasal congestions
bradycardia
34
Q

most common cause of autonomic dysreflexia

A

full bladder/UTI

35
Q

anti-htn meds given to decrease BP during autonomic dysreflexia

A

nifedipine

nitroglycerin paste

36
Q

reflex bladder

A

incontinent of urine, bladder empties on reflex, injury above T-12

37
Q

flaccid bladder

A

bladder becomes distended leading to overflow incontinence, injury below T-12

38
Q

reflex bowel

A

injury above sacral region, incontinent and leaking stool

39
Q

flaccid bowel

A

injury at sacral region, no BM until bowel is extremely full

Concept Synthesis Exam (6 decks)

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