Spinal Cord Injury Flashcards
brain to the body
afferent motor fibers
PDA
posterior, dorsal, afferent
body to bring
efferent motor neurons
AVE
anterior, ventricular efferent
hyperflexion
forward
hyperextension
backward
compression from the top or bottom (pool, fall)
axial loading, vertical compresssion
you cannot assess
primary injury.
when can you assess primary injury
return of reflexes
no motor, sensory, and reflex activity at the level of injury and below
spinal shock
disruption of sympathetic nervous system
neurogenci shock
signs of neurogenic shock
brady cardia, hypotension, peripheral vasodilation, decreased CO
different between neurogenic and hypovolemic shcok
neuro has brady cardia
Up to c6
quadriplegia (tetraplegia)
were is SC injury usually located to get autonomic dysreflexia
T6 or above
high BP and low pulse
neurogenic dysrefelxia
2nd common cause of death among chronic SCI
neurogenic shock
patho of neurogenic shock
CV compromise. T6 or above. Peripheral vasodilation below leel of injury leads to hypotension and decreased CO, orthostatic hypotension, pooling of blood in teh peripheral, vascular system leads to DVT and PE
treatment for neurogenic shock
atropine, norepi, dopamine, dubutamine
which injury causes respiratory issues
T12 and above
injuries above? paralysis of diaphragm (phrenic nerve) and likely intubation and vent
above C4
five point grading scale for muscles
4 push hand, 3 raise to gravity, 2 move with no gravity, 1 trace,