•No part of the body should be twisted or turned, and the patient is not allowed to sit up.
•If cervical fracture is found the patient may be placed on a rotating specialty bed with cervical
traction
•Or in a cervical collar with a hard bed
•Or a halo vest
nursing interventions for spinal cord injury - answer✔- immobilization
- assess resp dysfunction
- assess cardio fxn
- monitor s/s of hypovolemic shock
- assess nutritional status and presence of stress ulcers
- assess urinary and bowel fxn
- assess environment for temp control
- assess pain
- SCD, TED
- medications
surgery options for spinal cord injury - answer✔Surgery is indicated if:
•Compression of the cord is evident.
•Fragmented or unstable vertebral body.
•A wound that penetrates the cord.
•Neurologic status is deteriorating.
•Early stabilization improves outcome
•Goal: stabilize & remove pressure to preserve function
Medication
•High-dose IV corticosteroids (methylprednisolone)
spinal shock s/s - answer✔decreased reflexes, loss of sensation, and flaccid paralysis below the
level of injury
nursing diagnosis for high cervical spinal cord injury if pt is intubated - answer✔risk for injury
what can be done to combat venous pooling and low bp in a patient with spinal cord injury -
answer✔tilt gunnery or wheelchair
What is neurogenic bladder - answer✔-Lack of nerve supply to the bladder
-Person can't feel when bladder is full
-Must use catheter to void
clinical manifestations of neurogenic bladder - answer✔- poor voiding due to inability to feel
need to void
- overflow incontinence so full bladder cannot feel, incontinent
assessment and diagnostic findings for neurogenic bladder - answer✔measurement of fluid
intake, urine output, and residual urine volume; urinalysis; and assessment of sensory awareness
of bladder fullness and degree of motor control.
Medical management for neurogenic bladder - answer✔continuous, intermittent, or self-
catheterization
an external condom-type catheter
a diet low in calcium (to prevent calculi)
encouragement of mobility and ambulation.
Medications for neurogenic bladder - answer✔Parasympathomimetic medications, such as
bethanechol (Urecholine), may help to increase the contraction of the detrusor muscle.
coup-contrecoup brain injury - answer✔When the brain continues to move forward after a rapid
stop, striking the inside of the skull, resulting in a compression injury or bruising to the anterior
of the brain and stretching or tearing to the posterior of the brain.
diffuse brain injury - answer✔Include concussions and diffuse axonal injuries
Involve microscopic damage to cells
Most common mechanisms of injury include acceleration-deceleration injuries and rotational
forces
involves large portion of the brain
Concussion (brain injury) - answer✔blow to head causing trauma from minor to severe. if lose
consciousness may result in memory loss
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Brainbarter. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.49. You're not tied to anything after your purchase.