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68wm6 p2 Spi Cor Inj

Spinal Cord Injury

QuestionAnswer
Why may the full extent of spinal cord injuries not be apparent until 6-8 weeks after date of injury? The spinal cord normally goes into what is called spinal shock after it has been damaged.  The swelling and fluid masses showing on any resultant X-ray,  MRI or CT scans, may well mask the true extent of the underlying injury.
What part of the spine is damaged in quadraplegics? c1 - c6
What part of the spine is damaged in paraplegics? Thoracic, Lumbar, or Sacral
What injury is seen with rapid deceleration injuries, whiplash? Flexion injury
What injury is seen with rapid deceleration injuries, whiplash? Extension injury
What injury is seen with twisting of the spinal cord? Flexion rotation injury
What is a flexion injury? Displacement of vertebrae with fracture of two vertebral bodies and one disk
What is spinal shock? a period of flaccid paralysis and a complete loss of reflexes below the point of injury immediately following spinal injury
Within how long after spinal injury does a complete loss of motor, sensory, reflex and autonomic activity below the level of the lesion occur? within 30-60 minutes of injury
(This card is currently in question due to lack of resources) What is another name for spinal shock? Areflexia
What are S/Sx of areflexia? *Decreased blood pressure *Bladder distention *Bowel distention *Bradycardia *Decreased respiratory rate *Flaccid Paralysis *Warm dry skin
What is the duration of spinal shock? Is temporary, spontaneously resolves days to weeks later
What is the area of nerve impulses to body following trauma to C1-C3? complete quadriplegia, complete dependence
What is the area of nerve impulses to body following C4/C5 trauma? Some shoulder movement possible require respiratory support
What is the area of nerve impulses to body following C6-C8 trauma? incomplete quadriplegia- some elbow, arm and wrist movement. No sensation below midchest
What is the area of nerve impulses to body following T1-T6 trauma? paralysis below the waist with control of hands abdominal breathing
What is the area of nerve impulses to body following T7-T12 trauma? varying degrees of trunk and abdominal control
What is the area of nerve impulses to body following L1/L2 trauma? Hip abduction impaired . No sensation below lower abdomen
What is the area of nerve impulses to body following L3-L5 trauma? Knee and ankle movement impaired. No sensation below upper thigh
What is the area of nerve impulses to body following S1-S5 trauma? bowel/bladder dysfunction, variable motor and sensory loss in lower extremities and perineum
What is the characterizing sign of autonomic dysreflexia? exaggerated cardiovascular response to sympathetic stimuli
List 5 S/Sx of autonomic dysreflexia: *Pounding headache *Diaphoresis *Nasal congestion *Piloerection (goose flesh) *Severe hypertension—systolic pressure up to 300mmHg *Severe Bradycardia *Blurred vision
In which form of tongs for head traction are burr holes NOT needed? Gardner-Wells tongs
Surgical decompression of a spinal injury is not normally done until when? Skeletal traction is in place
What is used to change a spinal injury PTs position without changing traction alignment? A turning frame (Stryker or Foster)
What solution is used to cleanse pin sites in a head traction device? Normal saline and hydrogen peroxide
How often are ROM exersizes conducted in a PT is a head traction devise and what kind of motion will it be? Every 2 hours, Passive
If ROM is not fully employed in a PT with a head traction device, what will develop? Muscle spasm and eventually spasticity will occur. Leading to contractures.
Why does reflex bradycardia occur in spinal injury PTs? Dominate parasympathetic nervous system
The cardivascular system in a spinal injury PT loses the ability to do what? regulate BP and heart rate
What kind of diet will a spinal injury PT be put on? High fiber with calories adjusted to avoid weight gain, and vitamins
Most males with what upper motion neuron injuries can experience what? reflexogenic erections with cutaneous stimulation
What is given to reduce edema from spinal cord injury? Corticosteroids
Where must parenteral medication be injected in spinal PTs? above area of paralysis (if possible) because circulation is poor below the area of injury
Created by: Shanejqb