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Spinal Cord Injury
| Question | Answer |
|---|---|
| What is another name for C1 and C2? | C1-atlas, C2 axis |
| How many vertebrae are there and what are the categories? | 33 total, cervical-7, thoracic-12, lumbar-5, sacral-5, coccygeal-4 |
| How many nerves in each segment? | cervical-8, thoracic-12, lumbar-5, sacral-5, coccyx-1 |
| What is tetraplegia and where does it occur? | same as quadraplegia, affects both upper extremities, (C1-T1) |
| What is paraplegic? | affects lower extremities (T2-S5) |
| What is ASIA? | Acute Spinal Injury Assessment, A-E, A-worse, no motor function below area of injury, E-normal |
| If an injury is at C1-C3, what will the pt need? | ventilator, C4 may also need |
| What are the risks for cervical spinal cord injury? | altered mental status, intoxication, other fractures or injuries, focal neurological deficits, or spinal pain or tenderness |
| What are the main priorities for suspected cervical injury? | stabilization, resuscitation, and skin |
| how long does spinal shock last and how will you know when it has resolved? | hours to months, when return of the bulbospongiosis (bulbocavernosus) and anal reflexes occur |
| What causes neurogenic/vasogenic shock? | hypotension, bradycardia (loss of sympathetic influence on vessels) |
| What do injuries to C4-T6 indicate? | paralysis of intercostals and some abdominal muscles (aggressive pulmonary care) |
| What do injuries to T7-T12 indicate? | paralysis of some abdominal muscles (moderate pulmonary care) |
| What is done for pulmonary hygiene? | Quad coughing (manual assisted), coughaltor (+ and - breaths that mimic coughing), and suctioning |
| Where is the landmark for the dividing point from reflex bowel to areflexion bowel? | T12 |
| What are some things that can be done for bowel management? | BTP (bowe training program), LIS (low intermittent suction, NG tube |
| Where does an injury occur if autonomtic dysfunction occurs? | C1-T6 |
| What is Syrinx/syringomyelia? | Increased numbness, tingling, pain, Decreased sensation, motor function, Monitoring |
| What is Poikilothermia? | Lack of sweating below injury, Lack of shivering below injury, Prevention: dressing smart, avoiding extremes |
Created by:
brebre273
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