Medical Management (Acute Phase) of Spinal Cord Injury (SCI) - ANSWER -
Respiratory Therapy
- Diaphragmatic pacing
- Skeletal Fracture Reduction and Traction
- Surgical Management
- Pharmacologic Therapy
Care of client with Halo Device for Spinal Injury - ANSWER - Ensure that
wrench to release rods is attached to vest when using halo traction in the
event CPR is necessary
- Maintain body alignment and ensure cervical tong weights hang freely
- Monitor skin integrity by providing pin care and assessing skin under halo
fixation vest as appropriate
- Don't use halo device to turn or move a client
- If client goes home with a halo fixation device on, provide instruction on
pin and vest care
- Teach client signs of infection and skin breakdown
Halo Device Nursing Considerations - ANSWER - Ensure pulley is free of
knots, fraying and loosening every 8-12 hours
- Notify provider if patient experiences severe pain from muscle spasms
(unrelieved by meds or positioning)
- Assess neurovascular every hour for 24 hours
,- Provide pin care once a shift, 1-2 times a day
A nurse is preparing to discharge a client who has halo device and is
reviewing new prescriptions from the provider. The nurse should clarify
which of the following prescriptions with the provider?
a. Increase intake of fiber-rich foods
b. May place a small pillow under head when sleeping
c. May operate a motor vehicle when no longer taking analgesics
d. Take a tub bath instead of showers - ANSWER c. May operate a motor
vehicle when no longer taking analgesics
- Flushed warm skin with profuse sweating above lesion and pale, cold, and
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