Spinal Cord Injuries and Nursing Complications

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30 Questions

What percentage of strokes are ischemic?

87%

What is the ischemic penumbra?

An area of damaged tissue surrounding a stroke site

What is a possible complication of restoring blood flow to the ischemic penumbra?

Hemorrhagic transformation

What is the target of therapies for ischemic stroke?

To reopen vessels and reestablish blood flow

What is one cause of subarachnoid hemorrhage?

A ruptured aneurysm

What is the injectable medication used for treating ischemic stroke?

TNK

What is the ideal value for Cerebral Perfusion Pressure (CPP)?

Greater than 60

What should nurses do if there is a lot of blood in the ventricles and the drain becomes clotted?

Call the physician immediately

What is important to remember when assisting a surgeon in putting in a ventriculostomy?

Only the assist team and surgeon should be in the room

What is an indication of a problem with the ICP waveform?

If it looks like a sawtooth

What is a complication of CSF drainage via the ventriculostomy?

Infection

What happens if too much CSF is removed in a patient?

It can cause a subdural hematoma

What is the primary function of the posterior pituitary?

To stimulate the anterior pituitary to secrete hormones

What is the term for the hypersecretion of growth hormones?

Hyperpituitarism

What is the result of hyposecretion of hormones from the anterior pituitary gland?

Hypopituitarism

What is the term for the underproduction of growth hormones leading to short stature?

Dwarfism or short stature syndrome

What is the typical treatment for hypopituitarism?

Restoring hormone levels of human growth hormone

What is the term for the large hands, feet, and cheek bones due to hypersecretion of growth hormones?

Acromegaly

What is the primary purpose of wearing helmets?

To reduce the risk of injury from falling

What is a common underlying cause of seizures?

Lesions on the brain

What is a characteristic symptom of bacterial meningitis?

Nuchal rigidity

What is the purpose of a lumbar puncture in meningitis diagnosis?

To determine the type of meningitis

What is the therapeutic range for Dilantin?

10-20

Which of the following medication is used to treat seizures?

Keppra

What percentage of herniated disks occur in the lower lumbar L4/5 and S1, especially in nurses?

90%

What is the primary purpose of wearing a back brace for herniated disks?

To provide support and reduce further injury

Which of the following medications is used to treat cerebral edema?

Dexamethasone (Decadron)

What is a complication of spinal cord injury?

Pressure ulcers

Which medication is used to treat myasthenia gravis (MG)?

Pyridostigmine (Mestinon)

What is a potential surgical option for herniated disks?

All of the above

Learn about spinal cord injuries and complications such as pressure ulcers, contractures, weight loss, and depression. Understand the risks nurses face due to improper body mechanics and how to prevent back strains and herniated disks.

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