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Shock/Other Complica

Neuro Exam

QuestionAnswer
Sudden depression or reflex activity in the spinal cord or areflexia below the level of injury Spinal Shock (No VS Changes)
Muscles below level of injury without sensation, paralyzed, flacid, or reflexes absent. Spinal Shock (No VS Changes)
Bowel distension and paralytic ileus caused by depression of GI reflexes? Need what? Spinal Shock (No VS Changes); NG tube
Resolution- reflexes return and usually develop spasticity with this. Spinal Shock (No VS Changes)
Spacticity usually last after ________ _______ injury Spinal Cord
Develops d/t loss of ANS's innervation of cardiovascualr system (Injuries T1 and higher) Neurogenic Shock
Characterized by loss of vascular tone. Decreased SVR, BP, HR, CO. Vitals organs affected. Neurogenic Shock
Smooth muscle relaxation in vessel walls, vasodilation of veins and arteries increases r/o DVT Neurogenic Shock
Venous pooling in extremities, peripheral vasodilation, lasts 1-3 weeks Neurogenic Shock
To care for cariac sym of Neurogenic Shock, give IV fluids and what drugs? Atropine if BP drops too low, Dopamine, vasopressor/constrictors
DO NOT use _________ for Neurogenic Shock. It only increases CO. Nothing for HR, peripheral vessels. Dobutamine
Usually have to keep HOB ______ for treatment of Neurogenic Shock. Flat
What is prophylactic treatment of DVT? heparin, lovenox
Use compression stockings or ace wraps to prevent DVT
ROM should be performed to prevent what, especially when pt cant get OOB yet DVT
Cervical and thoracic injuries can cause _______ problems and orthostatic hypotension. RR
Increased r/o atelectasis and pneumonia with injury above ______. C4
Created by: mreedy