assessment of SCI circulation
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looks like hypovolemic shock
neurogenic shock
may have dysrhythmias of NSR or cardiac arrest
,compression SCI
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occurs from vertical force along spinal cord
ex: fall from height landing on feet/ butt
compression shooting through the cord causes vertebrate to shudder and
send body fragments everywhere like glass into spinal cord
6 point scale
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ranges 0-5
0 = total paralysis (no response)
5= full movement against resistance
function of T11-L2
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ejaculation
central cord syndrome symtoms
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, motor/ sensory deficits in upper extermities
bowel and bladder function completely reserved
how to treat respiratory complications in SCI
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because there is a decreased ability to cough, the patient needs help
loosening and expelling secretions
1. quad cough
2. chest physiotherapy
3. loosen secretions (mucomyst/ humidified O2)
4. reduce risk of VAP (oral care)
5. improve oxygenation
- albuterol (vasodilation of bronchioles)
-abdominal binder to support diaphragm
6. diaphragmatic pacemaker
SCI complications: respiratory system over C4
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complete loss of respiratory function
phrenic nerve lost (C3-5 keeps diaphragm alive)
pt needs vent support
what systems does a spinal cord injury impact
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, cardiovascular
respiratory
neurologic
integumentary
GI
GU
spinal precautions
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pt needs to maintain neutral position
use C collar and back board
pt should not sit up
log roll to move/ assess - 2 people on both ends
HOB less than 30 degrees
bed rest - no air beds (pressure ulcer risk)
begin spinal precautions at the scene, until injury is ruled out to prevent any
further damage
incomplete injury
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injury to a portion of the cord
sensory and motor fibers are preserved below the level of injury
**cord syndromes**
nerve tracks in the white matter: lateral spinothalamic tract
Give this one a try later!
looks like hypovolemic shock
neurogenic shock
may have dysrhythmias of NSR or cardiac arrest
,compression SCI
Give this one a try later!
occurs from vertical force along spinal cord
ex: fall from height landing on feet/ butt
compression shooting through the cord causes vertebrate to shudder and
send body fragments everywhere like glass into spinal cord
6 point scale
Give this one a try later!
ranges 0-5
0 = total paralysis (no response)
5= full movement against resistance
function of T11-L2
Give this one a try later!
ejaculation
central cord syndrome symtoms
Give this one a try later!
, motor/ sensory deficits in upper extermities
bowel and bladder function completely reserved
how to treat respiratory complications in SCI
Give this one a try later!
because there is a decreased ability to cough, the patient needs help
loosening and expelling secretions
1. quad cough
2. chest physiotherapy
3. loosen secretions (mucomyst/ humidified O2)
4. reduce risk of VAP (oral care)
5. improve oxygenation
- albuterol (vasodilation of bronchioles)
-abdominal binder to support diaphragm
6. diaphragmatic pacemaker
SCI complications: respiratory system over C4
Give this one a try later!
complete loss of respiratory function
phrenic nerve lost (C3-5 keeps diaphragm alive)
pt needs vent support
what systems does a spinal cord injury impact
Give this one a try later!
, cardiovascular
respiratory
neurologic
integumentary
GI
GU
spinal precautions
Give this one a try later!
pt needs to maintain neutral position
use C collar and back board
pt should not sit up
log roll to move/ assess - 2 people on both ends
HOB less than 30 degrees
bed rest - no air beds (pressure ulcer risk)
begin spinal precautions at the scene, until injury is ruled out to prevent any
further damage
incomplete injury
Give this one a try later!
injury to a portion of the cord
sensory and motor fibers are preserved below the level of injury
**cord syndromes**
nerve tracks in the white matter: lateral spinothalamic tract
