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Spinal Cord Injury

Terms in this set (44)

Respiratory: Monitor resp status-accumulation of secretions: atelectasis, pneumonia, pulmonary embolus: Ventilation, suction, chest physiotherapy, assist cough, IS, eval O2, breath sounds, ABG's, sputum, resp. rate, effort: pain mgmnt; turning, sitting, exercising breathing muscles, ROM
Cardio: CVP line; ECG, freq VS, Bradycardia (atropine, pacer), dec cardiac output, HTN
Neurogenic Bladder - loss of muscle & neuro control; retention initially (r/t spinal shock l/t reflux of urine to kidney l/t UTI & kidney damage) followed by incontinence & spasticity r/t hyperactive bladder & sphincter: Foley, I & O, alert to UTI's-bladder control intermittent catheters q3-4 hrs preferred method, Older: prostate & renal calculi (r/t dec fluid) Remove Foley after initial period & go to intermittent cath.
GI: Upper GI-swallowing, hypomotility (above T5) , gastric distention, stress ulcers: NG, NPO
GI: Lower GI - neurogenic bowel (sphincters not working)-constipation, impaction: Bowel program (gastric callic reflex - 30-60 min after meal peristalsis increased and want to have a BM), rectal stimulant (suppository or enema) q day, inc fiber & fluids
Nutrition: Wt. loss, anorexia, refusal to eat; inc protein & nutrious meals, inc protein, calories, fiber; TPN, tube feed, monitor e-lytes r/t NG l/t imbalance. Check albumin & e-lytes
Integumentary: pressure ulcers (Life Threatening; can lead to sepsis)- position; turn; skin care; nutrition. Thermo regulation-paklothermia; hypo & hyper-thermia
Always assume trauma patient has a spinal cord injury
Pin care: saline & antiseptic & antibiotic ointment. Monitor for s/s of infection. Traction weights hand freely/ never take traction off