Types of Spinal Cord Injury
No sensory or motor function below the level of injury.
What is complete SCI?
Cervical spine stabilization with pins and vest.
What is a Halo brace used for?
Loss of reflexes, retention, flaccidity.
What is neurogenic bladder?
Full bladder, constipation, skin issues, etc.
What may cause AD?
Every 2 hours and every 15-30 minutes.
How often to turn in bed and do wheelchair pressure reliefs?
Partial damage with varying degrees of impairment.
What is an incomplete SCI?
Worn at all times with pad changes after showers.
What care is involved for cervical collars?
Stimulate void, PVR monitoring, upright position, double void, run water.
What are techniques/treatment to assist bladder emptying?
Elevated BP, bradycardia, sweating, headache, etc.
What are symptoms of AD?
Twice daily.
How often to assess skin?
Paralysis or weakness of all four extremities.
What is tetraplegia/tetraparesis?
Don/doff brace as ordered.
What are TLSO/LSO brace precautions?
Inability to feel fullness or defecate.
What is hyperreflexic bowel?
SCI at or above T6.
What level of SCI increases AD risk?
ROM, repositioning, medications like Baclofen.
What is spasticity management?
Paralysis or weakness of lower extremities.
What is paraplegia or paraparesis?
TLSO/LSO used for this.
What is lumbar support?
Slow propulsion, incontinence, incomplete emptying.
What is areflexic bowel?
Sit patient up, check BP, check for stimulus.
What is the first step in AD treatment?
Drop in BP with dizziness and light headedness.
What is orthostatic hypotension? Do:
Motor and sensory level of SCI.
What does ASIA scale define?
For emergency removal.
Why tape wrench to Halo chest plate?
Steps in bladder programs. Steps in bowel programs.
What are the Bladder and Bowel Management Clinical Guidelines?
RN initiates this and follows steps.
What is the Autonomic Dysreflexia Treatment protocol?
Cough assist machine, incentive spirometer, etc.
What is respiratory management after SCI?