Spinal cord injury template ATI med surg PDF

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Summary

spinal cord injury template from the ATI med surg, for clinical...

Description

ACTIVE LEARNING TEMPLATE:

System Disorder

ST UDENT NAME _____________________________________

Spinal cord injury DISORDER/DISEASE PROCESS __________________________________________________________

Alterations in Health (Diagnosis) spinal cord injury

Pathophysiology Related to Client Problem loss of motor function, sensory function, reflexes and control of elimination

REVIEW MODULE CHAPTER ___________

Health Promotion and Disease Prevention causes of most are trauma, diving accidents

ASSESSMENT

SAFETY CONSIDERATIONS

Risk Factors

Expected Findings Report of lack of sensation of dermatomas below the level of the lesion! Report of neck or back pain

more clients age 16-30 high risk activities participation in impact sports acts of violence

Laboratory Tests

Diagnostic Procedures

Urinalysis, hemoglobin, ABGs CBCs: used to monitor for undiagnosed internal bleeding and impaired respiratory exchange

X rays, MRI and CT imaging, CAT scan can be used to assess the extend of the damage, the location of blood and bone fragment

PATIENT-CENTERED CARE

Nursing Care Monitor respiratory status is the first priority! provides Oxigen and suction as needed

Therapeutic Procedures Aplication of immobilization devices and traction! Provide traction and/or immobilize the spinal

ACTIVE LEARNING TEMPLATES

Sit the client up to decrease blood pressure secondary to postural hypotension! Notify the provider Determine the cause Monitor vital sigs for severe hypertension and bradycardia

Complications Medications glucocorticoids vasopressors antimuscarinic plasma expanders muscle relaxants analgesics anticoagulants stool softeners

Client Education Always wear a seatbelt when driving! Never drive under the influence of alcohol or

Interprofessional Care Intensive occupational and physical therapy to learn how to perform ADLs and reestablish mobility using manual mechanisms

Orthostatic hypotension! Spinal Shock Neurogenic Shock Autonomic dysreflexia...