Question | Answer |
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 |