Quiz 4 Study Guide: Spinal Cord Injury & Traumatic Brain Injury PDF

Quiz 4 Study Guide Spinal Cord Injury and Traumatic Brain Injury Clinical manifestations of a spinal cord injury in relation to level of injury. ( Ex: I Cervical, Thoracic, Lumbar) Describe what the word transection means in relation to a Spinal Cord In...

Quiz 4 Study Guide Spinal Cord Injury and Traumatic Brain Injury Clinical manifestations of a spinal cord injury in relation to level of injury. ( Ex: I Cervical, Thoracic, Lumbar) Describe what the word transection means in relation to a Spinal Cord Injury 2 Describe Neurogenic Shock. What is the nursing management of this condition? Describe complications of a spinal cord injury. What is the impact to the skin, bowel, bladder,respiratory system? Which of these takes priority when it comes to monitoring? What is autonomic dysreflexia? How does it present in patients? How do we S manage this condition and why is this condition deadly to SCI patients? What are common reasons for head injuries in adults? y What are clinical manifestations of a traumatic brain injury? ( Vital Signs changes (Cushing’s Triad) , Pupil response) 8 Review the glasgow coma scale and important score thresholds. ( What score warrants mechanical ventilation and what score signifies brain death or coma?) How would the nurse assess a patient with a TBI? What are the components of 9 a basic neuro assessment? How would we catch when a patient is starting to decline? Manifestations of skull fractures ( Rhinorrhea and Otoorrhea) 10 TETED Manifestation of spinal cord injury worriedaboutrespiratory cervical Thoraciccanmean tetra or Para Lumbar not mobile down below Tetraplegia All 4extremitieshavenomobility paraplegia 3somemovementdepending on upgfbbᵈᵈʰ vcationldegreeotinjury.maybreathannemmm theinjury greaterthe damage the injury moreselfindependence spinal cord injury pt'scan'tcough GU GI dependsonseverity of injury Deadliestplace forinjury C spine whatistransectionandmbggh it's relation to spinal cord injury Transection completedisconnection Directinsult to spinal cordTop of the bodyabove the injury has no communication with whats below it No communication to  Whats Neurogenicshockwillkillyour pt Neurogenic shock afteratraumaticinjury and Willcause Hypotension cardiacoutput Nursing management Venouspooling massive vasodilation warmextremities Treatment Fluids IV bolus NS oxygen over whichisntgood vasopressors.EEaPmht hyffEutabodygoesintopanicmodewhentheres sympathetic a disconnectfrom to cancauseincontinence x2 cancauserespiratory failure complications of spinal GI Gu can becomeincontinent cordinjury depending onlocation severity of injury Theremaybesome whats theimpact to constipationandurinaryretention skin bowelbladder resp skinbreakdown pressureulcers straightcathisbetter.toavoid whichone takespriority infections When monitoring Atelectasisbecause cough pt cant cathPtevery4 6 hours ABC's take priority over spinal cord injury  How does it present ftt hhmmmftegp.tl in Pt's fthhhff youcan'tgetthisunlesstheresaspinalcord injury at The or higher afftom canbecaused by stress anxiety pressure ulcers The UTI pneumonia tightclose positioning paper Dizziness nausea headache Flushing CheckBP Bladderdistentionand bowel impactment Focuson bowel bladder skin distended when the last time Straight cathed isFoley pt Is bladder was needmeds kinkeda no urinecoming out I spt stoolimpacted dothey commonreasonstornadwaf injuries in Adults Motorvehicleaccidents Felland hit their head on concrete cement Directinsult blow tothe head  Δ's in Loc isan earlysign clinical manifestationsof PERRLA blown1regular ipsilateral a vitalA's are a latesign TBI pupilblown is ipsilateral vitalsCushingtriad a contralateral is motor andpupilresponse 3componentsofcushingsTriad OWidenedputsepressure systolic 180Diastolic 51 HRwillgo Bradycardia Irregularrespirations respirations will fluctuate and Episodes ofapnea and that can be ominoussign Glasgow coma scale Score 1315 Ideal score 8 ontheroad to mechanical ventilation shortterm untilrecovery score 3 Nomotor no verbal noeyemovement Ptcanbe becomatose Braindeath medicallyinduced coma  ri IIIIEnnmwt components of Neuro assessment PERRLA AGO HandSqueeze Pushand Pull Visual changes Any changes in LOC Monitor vitals Manifestations of skull fractures Rhinorrhea Otoorhea Draingefrom noseand ear The fluid is CSF Testing for glucosemeans its CSF testing for Halo Test on a gauze the blood will coagulate in the center The paleyellow is the CSF NO NG tube because it cango upto the brain NO lumbar puncture in SCI TBI