RNSG 1538 COMPREHENSIVE ANSWERS AND
QUESTIONS SET A+
✔✔Nitroglycerin
Nitroprusside
Hydralazine - ✔✔What are some short acting cardiac medications that might be given
for autonomic dysreflexia?
✔✔Decreased reflexes
Loss of sensation
Absent thermorefulation
Flaccid paralysis
*below the level of the injury - ✔✔What are the clinical manifestations if spinal shock?
✔✔Hypotension
Bradycardia
**From loss of sympathetic nervous system interaction causing peripheral vasodilation,
venous pooling, and decreased cardiac output - ✔✔What are the S/S of neurogenic
shock?
✔✔Used for recording changes in neurological status - ✔✔What is the ASIA Impairment
scale used for?
✔✔Can cause respiratory insufficiency
Inability to cough and clear secretions increasing the risk of: aspiration, atelectasis, and
pneumonia
Pulmonary edema - ✔✔What issues may arise in respiratory function with a SCI above
C4 or even below C4?
✔✔Neurogenic shock or autonomic dysreflexia - ✔✔What are the potential cardiac
effects of a SCI above T6?
✔✔neurogenic bladder
Paralytic illeus
, Neurogenic bowel
Ulcers
Dysphasia - ✔✔What type of gastrointestinal and urinary problems may arise from a
SCI? 5
✔✔Skin breakdown
Difficulty with thermoregulation below injury - ✔✔What are some manifestations if a SCI
that might happen to the skin or may be noticeable on the skin? 2
✔✔Crutchfield or Gardner-Wells tings or halo - ✔✔What type of traction is used for a
cervical injury?
✔✔Atropine (anticholinergic)
Pacemaker (temp or permanent) - ✔✔What interventions (drug & other) would be given
for bradycardia in a SCI patient?
✔✔Fluid replacement
Vasopressin agent - phenylephrine or noepinephrine - ✔✔What are the interventions for
hypotension from a SCI injury?
✔✔Assess BP before getting patient up
Abdominal binder
Graduated compression stockings for venous return
Salt tablets or fludrocortisone to increase volume - ✔✔What interventions for a SCI
patient with injury above T6 with orthostatic hypotension?
✔✔A high protein high calorie diet for energy and tissue repair.
Should be started within 72 hours of injury - ✔✔When should a SCI patient begin to eat
after injury (initial risk of paralytic illeus)?
What type of diet should be given?
✔✔Monitor respiratory function
Monitor HR and BP
Monitor H&H
Temperature control- monitor regularly
Sensory stimulation
Pain management
Skin care - ✔✔Nursing interventions for a SCI patient stabilized? 6
✔✔H2 receptor blockers: Ranitidine (Zantac), famotidine (Pepcid)
Or
PPI: pantoprazole (Protonix), omeprazole (Prilosec) - ✔✔What medications may be
given to a SCI patient to reduce the secretion of HCL?
QUESTIONS SET A+
✔✔Nitroglycerin
Nitroprusside
Hydralazine - ✔✔What are some short acting cardiac medications that might be given
for autonomic dysreflexia?
✔✔Decreased reflexes
Loss of sensation
Absent thermorefulation
Flaccid paralysis
*below the level of the injury - ✔✔What are the clinical manifestations if spinal shock?
✔✔Hypotension
Bradycardia
**From loss of sympathetic nervous system interaction causing peripheral vasodilation,
venous pooling, and decreased cardiac output - ✔✔What are the S/S of neurogenic
shock?
✔✔Used for recording changes in neurological status - ✔✔What is the ASIA Impairment
scale used for?
✔✔Can cause respiratory insufficiency
Inability to cough and clear secretions increasing the risk of: aspiration, atelectasis, and
pneumonia
Pulmonary edema - ✔✔What issues may arise in respiratory function with a SCI above
C4 or even below C4?
✔✔Neurogenic shock or autonomic dysreflexia - ✔✔What are the potential cardiac
effects of a SCI above T6?
✔✔neurogenic bladder
Paralytic illeus
, Neurogenic bowel
Ulcers
Dysphasia - ✔✔What type of gastrointestinal and urinary problems may arise from a
SCI? 5
✔✔Skin breakdown
Difficulty with thermoregulation below injury - ✔✔What are some manifestations if a SCI
that might happen to the skin or may be noticeable on the skin? 2
✔✔Crutchfield or Gardner-Wells tings or halo - ✔✔What type of traction is used for a
cervical injury?
✔✔Atropine (anticholinergic)
Pacemaker (temp or permanent) - ✔✔What interventions (drug & other) would be given
for bradycardia in a SCI patient?
✔✔Fluid replacement
Vasopressin agent - phenylephrine or noepinephrine - ✔✔What are the interventions for
hypotension from a SCI injury?
✔✔Assess BP before getting patient up
Abdominal binder
Graduated compression stockings for venous return
Salt tablets or fludrocortisone to increase volume - ✔✔What interventions for a SCI
patient with injury above T6 with orthostatic hypotension?
✔✔A high protein high calorie diet for energy and tissue repair.
Should be started within 72 hours of injury - ✔✔When should a SCI patient begin to eat
after injury (initial risk of paralytic illeus)?
What type of diet should be given?
✔✔Monitor respiratory function
Monitor HR and BP
Monitor H&H
Temperature control- monitor regularly
Sensory stimulation
Pain management
Skin care - ✔✔Nursing interventions for a SCI patient stabilized? 6
✔✔H2 receptor blockers: Ranitidine (Zantac), famotidine (Pepcid)
Or
PPI: pantoprazole (Protonix), omeprazole (Prilosec) - ✔✔What medications may be
given to a SCI patient to reduce the secretion of HCL?
