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Spinal Cord Injury

QuestionAnswer
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