medical interventions for spinal injury's - ANSWER--c-spine immobilization
•The patient is kept on the transfer board.
•No part of the body should be twisted or turned, and the patient is not
allowed to sit up.
•If cervical fracture is found the patient may be placed on a rotating
specialty bed with cervical traction
•Or in a cervical collar with a hard bed
•Or a halo vest
nursing interventions for spinal cord injury - ANSWER--- immobilization
- assess resp dysfunction
- assess cardio fxn
- monitor s/s of hypovolemic shock
- assess nutritional status and presence of stress ulcers
- assess urinary and bowel fxn
- assess environment for temp control
- assess pain
- SCD, TED
- medications
surgery options for spinal cord injury - ANSWER--Surgery is indicated if:
•Compression of the cord is evident.
•Fragmented or unstable vertebral body.
•A wound that penetrates the cord.
•Neurologic status is deteriorating.
•Early stabilization improves outcome
•Goal: stabilize & remove pressure to preserve function
Medication
•High-dose IV corticosteroids (methylprednisolone)
spinal shock s/s - ANSWER--decreased reflexes, loss of sensation, and
flaccid paralysis below the level of injury
nursing diagnosis for high cervical spinal cord injury if pt is intubated -
ANSWER--risk for injury
what can be done to combat venous pooling and low bp in a patient with
spinal cord injury - ANSWER--tilt gunnery or wheelchair
What is neurogenic bladder - ANSWER---Lack of nerve supply to the
bladder
-Person can't feel when bladder is full
-Must use catheter to void
clinical manifestations of neurogenic bladder - ANSWER--- poor voiding
due to inability to feel need to void
- overflow incontinence so full bladder cannot feel, incontinent
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