Spinal Cord Injury PDF

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Summary

SPINAL CORD INJURY...

Description

ACTIVE LEARNING TEMPLATE:

System Disorder

Maina ST UDENT NAME Caroline _____________________________________ Spinal Cord Injury DISORDER/DISEASE PROCESS __________________________________________________________

Alterations in Health (Diagnosis) Paraplegia

Pathophysiology Related to Client Problem Ischemia from damage or impingement on spinal arteries

12 REVIEW MODULE CHAPTER ___________

Health Promotion and Disease Prevention Promote adequate nutrition and exercise

ASSESSMENT

SAFETY CONSIDERATIONS

Risk Factors

Expected Findings

Risk factors include dyslipidemia, hypertension, oneumonia, blood clots, constipation and GI disruptions, pressure ulcers, pain

Laboratory Tests Arterial Blood Gas (ABG) Lactate Levels Hemoglobin & Hematocrit Urinalysis

Loss of spinal reflexes, loss of sensation, loss of sweating, loss of sphinter tone and bladder/bowel control

Diagnostic Procedures MRI of the entire spin for blood clots or masses CT scan to identify severity X-ray fro fracture diagnosis

PATIENT-CENTERED CARE

Nursing Care Monitor vital signs, labs (ABGs), respiratory difficulty, and repositioning

Therapeutic Procedures Possible surgery to relieve swelling. Stretching/ambulating areas to promote blood flow and strength

ACTIVE LEARNING TEMPLATES

Minimize the amount of clutter within the client’ s room to prevent falls. Avoid positioning the client on any bony prominences that would elicit pressure ulcers. Inspecting the skin to minimize moisture.

Complications Medications NSAIDs for pain Gabapentin for nerve pain Muscle relaxers Docusate Sodium to promote bowels

Client Education Wheelchair training is important to maintain and promote mobility Prevent pressure ulcers

Interprofessional Care

Pressure Injury development, need to reposition every 2 hours. Urinary tract infections from catheter use. Deep vein thrombosis from lack of mobility

Neurology, orthopaedics, physical therapy

THERAPEUTIC PROCEDURE

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