Nur426 Test Solutions 100% Correct Answers

NUR426 TEST SOLUTIONS 100% CORRECT ANSWERS What is an SCI classified by? (3) - mechanism of injury - level of injury - degree of injury what is the most unstable mechanism of injury for SCI? what can it lead to? flexion-rotation neurological deficits which SCI leads to total loss of respiratory muscle function? C-4 and above tetraplegia, results in complete paralysis below the neck C4 injury results in partial paralysis of hands and arms as well as lower body C6 injury paraplegia, results in paralysis below the chest T6 injury paraplegia, results in paralysis below the waist L1 injury what is used to classify the severity of impairment from SCI? ASIA impairment scale (american spinal injury association) this scale combines assessments of motor and sensory function to determine neurologic level and completeness of injury ASIA impairment scale pre-hopsital SCI immediate goals - airway patent - ventilation/breathing - circulation - prevent extension of damage pre-hopsital SCI interventions - airway/O2 90% - maintain SBP 90 - IV access (NS or LR) - immobilization - control bleeding pre-hospital SCI plan of care stabilize at scene then transfer to the nearest medical facility a type of scan that quickly helps diagnose or rule out spinal column damage. CT scan a type of scan that can reveal internal injuries, bony injuries, and bleeding quickly CT scan a type of scan that takes time, so the patient must be stable and able to tolerate it MRI a type of scan that provides a better visualization of the spinal cord, ligaments, discs, vessels, and other soft tissues MRI stabilization interventions for SCI - fluids - vasopressor - atropine - c-collar - backboard recommended immobilization for SCI rigid cervical collar and supportive blocks on a backboard with straps when is spinal immobilization NOT recommended when patients have penetrating trauma nonoperative stabilization methods for SCI