Spinal Shock

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Author:
busdriverre
ID:
1335
Filename:
Spinal Shock
Updated:
2009-11-21 17:39:00
Tags:
Spinal Shock
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Description:
Spinal Shock
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  1. Spinal Shock
    • occurs immediately in response to injury
    • flaccid paralysis
    • loss of activity below injury
    • usually lasts 24 hours but can go on for weeks
    • muscle spasticity with cervical or high thoracic injuries
  2. Spinal Shock Motor-Cardiovascular & Respiratory Assessment
  3. CV imapired w/injury above 6th thoracic vertabrae
    • dysrhythmia
    • systolic blood pressure <90
    • hypothermia
    • increased risk for resp function
    • atelactasis
  4. Spinal Shock-other assessments
    • hyper DTR in lower motor neurons
    • hypo DTR in upper motor neurons
    • pressure points lead to skin breakdown
    • bony growth into muscle -> decreased ROM
  5. Spinal Shock-non surgical management
    • assess constantly
    • ck for neurogenic shock w/in 1st 24 hours
    • spinal shock w/bradycardia
    • decreased or absent blowl sounds
    • warm, dry skin
    • hypothermia
    • hypotension
  6. Spinal Shock-surgical management
    • halo to realign vertebrae and aid healing
    • skeletal traction
    • stryker frame, rotational bed
    • corset or brace when mobile to keep spine aligned
    • full body cast
  7. Spinal Shock-drug therapy
    • methylprednisolone
    • dextran (plasma expander)
    • atropine (bradycardia)
    • domanine (vasopressor)
    • tizanidine (muscle relaxer)
    • baclofen (muscle relaxer)
  8. Spinal Shock-surgical management
    • emergency surgery for decompression
    • decompressive laminectomy
    • spinal fusion
    • Harrington rods to stabilize thoracic spinal injuries
  9. Spinal Shock-interventions
    • for ineffective breathing:
    • clear airway
    • assist w/coughing
    • incentive spirometer
    • trachea suctioning

    • for self care deficit:
    • pressure ulcers, dvt's or pulmonary emboli
    • positioning, ROM, ted hose, heparin
    • prevent orthostatic hypotension
    • promote self care

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