Nuero Part 2

Nursing 361 with Ramsey at University of Tennessee - Knoxville

About this deck

By: Josh Campbell
Textbook:

Medical-Surgical Nursing: Critical Thinking in Client Care
Created: 2009-01-29
Size: 19 flashcards
Views: 45

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what are the causes of spinal cord injury?

concussion, contusion, laceration, transection, hemorrhage, damage to blood vessels that supply the spinal cord, and fractured vertebrae

Which region of spinal cord injuries will lead to respiratory problems?

C3 and up

What is the level of injury assessment for a cervical injury?

paralysis/weakness of all extremeties

What is the level of injury assessment for a thoracic or lumbar injury?

paralysis/weakness or lower extremeties

Diagnostic tests used for spinal cord injusries

X-rays, CT scan, MRI, and arterial blood gases

Medications for spinal cord injuries

1)corticosteroids(within 8 hours of injury for 23 hours)
2)vasopressors(bradycardia and hypotension)
3) Histamine H2 receptor antagonist to prevent stress ulcers
4) anticoagulants if not contraindicated

What us a COMPLETE spinal cord injury?

Motor and sensory pathways completely transected, total loss BELOW level of injury

What are some persistent cardiovascular changes after spinal shock resolves?

Orthostatic hypotension, bradycardia, decreased peripheral resistance, loss of muscle tone leading to sluggish circulation and decreased venous return, and risk for thrombophlebitis

What is tetraplegia(formerly qudriplegia)?

Injuries that affect the cervical segment of spinal cord, upper extremities affected

What is a paraplegic?

paralysis of thoracic, lumbar, or sacral portion. Impairment of sensory and motor function

What are the symptoms of autonomic dysreflexia?

bradycardia, severe HTN, flushed warm skin, sweating above injury level, Dry skin below injury level

What is the treatment for autonomic dysreflexia?

keep head elevated 90 degrees, remove hose, cath or unkink tubing, disimpact impacted stool, relieve skin pressure

what are the manifestations of Herniated CERVICAL Disk?

Pain in shoulder, neck, and arm
Paresthesias-tingling, prickling numbness
Muscle spasma

what are the manifestations of Herniated LUMBAR Disk

low back pain with radiation across butt
sciatia
motor and sensory deficits

Which medications should be taken for a herniated disk?

for pain-analgesics and NSAIDS
for muscle spasms-muscle relaxants

What is the most common site for a spinal cord tumor?

Thoracic region

what is decorticate posture?

Flexion of upper extremities, hands on chest

What is decerebrate posture?

Adduction and rigid extension of upper and lower extremities

What are the characteristics of brain death?

Cessation and irreversibility of brain function, absent motor and reflex movements, apnea, fixed and dilated pupils, flat EEG(brain waves), no ocular response

About this deck

By: Josh Campbell
Textbook:

Medical-Surgical Nursing: Critical Thinking in Client Care
Created: 2009-01-29
Size: 19 flashcards
Views: 45

About StudyBlue

“I have been getting MUCH better grades on all my tests for school. Flash cards, notes, and quizzes are great on here. Thanks!”
Kathy