Cervical spine
Patient is s/p a two level ACDF who is wearing a Miami J collar. What other collar should be at the bedside prior to patient being discharged?
What is a Philadelphia or Philly collar?
The vasospasm window
What is 3- 21 days?
The phrase "no BLT"
What is no bending, lifting, or twisting?
The sodium for DI
What is greater than 140?
The dressing is soaked with blood
What is To Page?
Patient is s/p C3-5 ACDF, C3-T4 PSF. It is important to consider what diet to order for the patient due to what?
What is difficulty swallowing or dysphagia?
Sign of clinical vasospasm
What is a new neurological deficit?
The benzodiazepine that is given for muscle spasms.
What is Valium?
The time you should draw all post operative day one labs, including cortisol
What is 8 AM?
Patient was alert and oriented x3 during your morning assessment. At noon, the patient is no longer oriented to place or time.
What is To Page?
A condition where a patient can have gait instability, hyperactive reflexes, and difficulty with fine motor skills such as writing and buttoning buttons.
What is cervical myelopathy?
Treatment for suspected vasospasm
What is IV fluid bolus or angiogram for spasmolysis?
The term TLIF stands for?
What is Transforaminal Lumbar Interbody Fusion?
What are the common medications we can give them post-op to increase their comfort?
What is Sudafed and ocean nasal spray?
Heparin not held on day of surgery
What is To Page?
Post operative weakness of deltoid and/or biceps with no worsening of myelopathy that may be seen up to one week after surgery.
What is C5 palsy?
Trigger for vasospasm
What is hypotension?
The imaging that can help to rule out a spinal epidural abscess.
What is a MRI?
Urine Specific Gravity level for DI
What is less than 1.005?
The patient has a temperature of 100.4.
What is Not To Page?
How many cervical nerve roots exist?
What is 8 cervical nerve roots?
Major risk of Vasospasm.
What is stroke?
The clinical condition arising from dysfunction of multiple lumbar and sacral nerve roots within the lumbar spinal canal. Possible findings include: sphincter disturbance, saddle anesthesia, significant motor weakness, low back pain.
What is Cauda Equina Syndrome?
The urine output criteria for DI
What is greater than 300 cc per hour for the past 3 hours?
Aspirin and Plavix ordered on the day of EC/IC
What is Not To Page?