S/s of Autonomic dysreflexia
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, hypertension, throbbing headache, marked diaphoresis above the level of
injury, bradycardia (30 to 40 beats/min), piloerection from pilomotor
spasm, flushing of the skin above the level of injury, blurred vision or spots
in the visual fields, nasal congestion, anxiety, and nausea. Measure BP when
a patient with SCI reports a headache. Suspect AD in adults with SBP
elevation of 20 to 40 mm Hg above baseline.20
Insulin needs what electrolyte to enter into cells?
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Potassium
C1-3 injury
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• Often fatal
• Movement in neck and above, loss of innervation to diaphragm, absence
of independent respiratory function
• Able to drive electric wheelchair equipped with portable ventilator by
using chin control or mouth stick, headrest to stabilize head
• Computer use with mouth stick, head wand, or noise control
• Attendant care 24 hr/day, able to instruct others
Thyroid storm?
- s/s?
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, •Life threatening although death is rare if caught early
•Occurs when excess thyroid hormones are released (think thyroidectomy
as well)
•Hyperthermia (up to 106F)
•Tachycardia/dysrhythmias
•Hypertensive crisis
•Hypoglycemia
•Delirium, hyperactivity, mania
Goal of tx: to shut down thyroid production - Iodine and negative feedback
Foot Care for Persons with Type 1 or Type 2 Diabetes
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•Loss of protective sensation + compromised circulation → risk for foot
ulcers
•Diabetes is the #1 non-traumatic cause of Lower extremity amputations in
the U.S.
Anterior Cord Syndrome
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• Damage to anterior spinal artery
• Results in compromised blood flow to anterior spinal cord
• Typically results from acute compression of anterior part of the spinal
cord
• Common with flexion injury
s/s:
• Motor paralysis and loss of pain and temperature sensation below level of
, injury
• Since posterior cord tracts are not injured, sensations of touch, position,
vibration, and motion remain intact
Kyphosis
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hunchback
What type of info does the lateral spinal cord carry?
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pain, temp, crude touch
Effects of Immobility
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, hypertension, throbbing headache, marked diaphoresis above the level of
injury, bradycardia (30 to 40 beats/min), piloerection from pilomotor
spasm, flushing of the skin above the level of injury, blurred vision or spots
in the visual fields, nasal congestion, anxiety, and nausea. Measure BP when
a patient with SCI reports a headache. Suspect AD in adults with SBP
elevation of 20 to 40 mm Hg above baseline.20
Insulin needs what electrolyte to enter into cells?
Give this one a try later!
Potassium
C1-3 injury
Give this one a try later!
• Often fatal
• Movement in neck and above, loss of innervation to diaphragm, absence
of independent respiratory function
• Able to drive electric wheelchair equipped with portable ventilator by
using chin control or mouth stick, headrest to stabilize head
• Computer use with mouth stick, head wand, or noise control
• Attendant care 24 hr/day, able to instruct others
Thyroid storm?
- s/s?
Give this one a try later!
, •Life threatening although death is rare if caught early
•Occurs when excess thyroid hormones are released (think thyroidectomy
as well)
•Hyperthermia (up to 106F)
•Tachycardia/dysrhythmias
•Hypertensive crisis
•Hypoglycemia
•Delirium, hyperactivity, mania
Goal of tx: to shut down thyroid production - Iodine and negative feedback
Foot Care for Persons with Type 1 or Type 2 Diabetes
Give this one a try later!
•Loss of protective sensation + compromised circulation → risk for foot
ulcers
•Diabetes is the #1 non-traumatic cause of Lower extremity amputations in
the U.S.
Anterior Cord Syndrome
Give this one a try later!
• Damage to anterior spinal artery
• Results in compromised blood flow to anterior spinal cord
• Typically results from acute compression of anterior part of the spinal
cord
• Common with flexion injury
s/s:
• Motor paralysis and loss of pain and temperature sensation below level of
, injury
• Since posterior cord tracts are not injured, sensations of touch, position,
vibration, and motion remain intact
Kyphosis
Give this one a try later!
hunchback
What type of info does the lateral spinal cord carry?
Give this one a try later!
pain, temp, crude touch
Effects of Immobility
Give this one a try later!
