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Spinal Cord Injurt
Exam 1
18
Nursing
Undergraduate 3
09/16/2018

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Cards

Term
Complete vs incomplete
Definition
Complete = no innervation below injury
Incomplete = allows some function below injury
Term
Hyperflexia
Definition
Head is forcefully moved forwards

(head on MVA)
Term
Hyperextension
Definition
Head accelerated then decelerated

(rear end collision)
Term
Axial Loading
Definition
(vertical compression)

Blow to top of head causes vertebrae to shatter, pieces o bone enter the spinal canal and damage the cord.
Term
Roation injury
Definition
Caused by turning the head beyond normal range
Term
Penetrating trauma Classified by
Definition
Speed: Low or high speed

Low speed or low impact injuries cause damage directly at site
High speed have direct and indirect damage
Term
Secondary injury
Definition
Worsens the primary injury.

Hemorrhave, ischemia, hypovolemia......
Term
Leading cause?
Definition
Trauma.

more than 35% from vehicle crashes
Term
Spinal shock syndrome
Definition
Complete and temporary loss of motor, sensory, reflex and autonomic functions that lasts 48 hours to several weeks.
Term
Heterotopic ossification
Definition
Bony overgrowth that can occur with prolonged immobility.

SX
Redness, swelling, warmth and decreased ROM in the involved extremity.
Term
Priority nursing invervention
Definition
AIRWAY

Injury above t6 at high risk for respiratory complications/PE
Term
Cough assist
Definition
Place hands over diaphragm and below ribs
Fingers interlocked and away from skin
PT takes a breath and coughs during exhalation
Assistant pushes wards and upwards as pt coughs

Repeat utilizing rest periods
Term
Halo fixator
Definition
Inserts screws into skull and allows for greater mobility.

Box around head.
Term
Autonomic dysreflexia
Definition
Potentially life threatening condition.
Affects men more than women
More likely in high-level SCI
Sudden rise in BP followed by bradycardia
Term
Autonomic dysreflexia ssx
Definition
Profuse wearing above level of lesion especially in face neck and shoulders
Goose bumps above - possible below - lesion
Flushing of skin above lesion especially in face, neck and shoulders
Blurred vision, nasal congestion, spots in visual field
Severe throbbing headache
Flushing about the level of lesion with pale skin below lesion
Feeling of apprehension
Term
Priority intervention of AD
Definition
Place patient in sitting position
Term
Interventions of AD
Definition
Assess and treat cause,
Check urinary catheter for blockage or kinks
Check for bladder distinction
Check for fecal impact ion
Determine if UTI or stones caused AD
Monitor BP q10-15 min
Examin skin for new or worsening ulcers
Term
Flaccid bladder nursing intervention
Definition
Teach valsava maneuver.

May gain control with valsalva or tightening of bladder muscles.
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