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spinal cord injuries in kids are most commonly caused by: - 🧠 ANSWER
✔✔sports
MVA
diving
GSW
(potentially life threatening emergency!) HOB elevate 90 degrees, loosen
constrictive clothing, *assess for full bladder or bowel impaction*, (trigger)
,administer antihypertensives (may cause stroke, MI, seizure) - 🧠 ANSWER
✔✔Autonomic Dysreflexia
spinal cord injury complications: - 🧠 ANSWER ✔✔skin breakdown
paralytic ileus
autonomic dysreflexia
pneumonia
orthostatic hypotension
spinal shock
neurogenic shock
In Autonomic dysreflexia where is the injury usually above? - 🧠 ANSWER
✔✔t6
s/s of autonomic dysreflexia: (bladder distention) - 🧠 ANSWER
✔✔hypertension
bradycardia
diaphoretic
*Young adult* men between ages ___ years have the greatest risk for SCI.
,•Eighty-one percent of people with SCI are male. - 🧠 ANSWER ✔✔16-30
•Almost ___% of patients with SCI are discharged from the hospital to
home or another non-institutional residence. - 🧠 ANSWER ✔✔90
causes of spinal cord injuries: - 🧠 ANSWER ✔✔*42% motor vehicle
collisions*
*27% falls*
15% violence
7% sports injuries
8% other miscellaneous cases
SCI due to cord compression by: - 🧠 ANSWER ✔✔Bone displacement
Interruption of blood supply
Traction from pulling on cord
•Penetrating trauma, such as gunshot and stab wounds, can result in ___
and ____. - 🧠 ANSWER ✔✔tearing, transection
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, The initial mechanical disruption of axons as a result of stretch or laceration
is referred to as the __. The insult may be due to cord compression by
bone displacement, interruption of blood supply to the cord, or traction
resulting from pulling on the cord. Penetrating trauma, such as gunshot and
stab wounds, can result in tearing and transection of the spinal cord. - 🧠
ANSWER ✔✔primary injury
___ refers to the ongoing, progressive damage that occurs after the initial
injury which may include ischemia, hypoxia, hemorrhage, or edema. The
mechanism for this injury involves a cascade of metabolic and cellular
events that creates a decrease in overall spinal cord blood flow. This
results in tissue hypoxia and secondary injury. - 🧠 ANSWER ✔✔Secondary
injury
¡Several theories on what causes ongoing damage at molecular and
cellular levels: - 🧠 ANSWER ✔✔Free radical formation
Uncontrolled calcium influx
Ischemia
Lipid peroxidation