Correct Answers
Autonomic Dysreflexia ✅An emergent condition seen in patients with spinal cord
injuries at level T6 and above. Characterized by uncontrolled, rapid-onset hypertension,
bradycardia, intense headaches and facial erythema. Triggered by "noxious stimuli".
Autonomic Dysreflexia intervention ✅Raise head of bed 90 degrees, administer
antihypertensives, remove tight clothing, check urinary catheters for kinks and clamps,
remove fecal impactions.
DaTScan ✅An imaging test that follows the path of dopamine throughout the brain.
Used to diagnose Parkinson's disease.
neurogenic shock ✅Circulatory failure caused by paralysis of the nerves that control
the size of the blood vessels, leading to widespread dilation; seen in patients with spinal
cord injuries.
neurogenic shock symptoms ✅Warm, dry skin, hypotension, bradycardia, lack of
compensatory mechanisms from the sympathetic nervous system
neurogenic shock interventions ✅Vasopressors (dopamine, vasopressin (ADH),
epinephrine), atropine, IV fluid bolus
halo vest ✅a halo is a metal ring attached to the skull with screws. The halo is then
attached to a padded vest by four metal rods. The purpose of the halo and vest is to
hold the cervical spine in place as it heals.
halo vest precautions ✅DO NOT REMOVE HALO VEST WITHOUT TRAINED
PROFESSIONAL, clean the pins and the area around them every day with approved
cleaning solution, make sure vest lining stays clean and dry, take sponge baths - do not
submerge in water, do not drive.
spina bifida ✅A congenital defect that occurs during early pregnancy when the spinal
canal fails to close completely around the spinal cord to protect it. Linked to a deficiency
of folic acid.
meningocele ✅A sac filled with cerebrospinal fluid that juts through the vertebrae to
the outside of the body (herniation). Requires covering with a wet-to-dry dressing and
immediate surgical repair.
myelomeningocele ✅Identical to a meningocele, except that the fluid sac contains
nerve endings from the spinal cord. The most serious form of spina bifida.