Spinal Cord InjuriesArticle Last Updated: Aug 8‚ 2006 BackgroundPatients with spinal cord injury (SCI) usually have permanent and often devastating neurologic deficits and disability. According to the National Institutes of Health‚ "among neurological disorders‚ the cost to society of automotive SCI is exceeded only by the cost of mental retardation."The goals for the emergency physician are to establish the diagnosis and initiate treatment to prevent further neurologic injury from either pathologic
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Ch. 56-61 (cont) Head Injury -trauma to head‚ including chg in LOC -traumatic brain injury= incr potential for poor outcome -immediately after‚ 2h after‚ 3 wk after‚ death common -*abnormal motor reflex‚ alt eye mvmt‚ hypotension= hypoxia= decr O2 in brain‚ incr ICP greater than 20 GCS measures speech‚ eye‚ motor -if greater than 8= 90% chance recov -if less than 8= 30-70% chance recov Scalp lac- most common type‚ profuse bld‚ complication is infx -skull fx- linear‚ depressed‚ simple
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Chapter 61: Nursing Management: Peripheral Nerve and Spinal Cord Problems Test Bank MULTIPLE CHOICE 1. The nurse assessing a 54-year-old female patient with newly diagnosed trigeminal neuralgia will ask the patient about a. visual problems caused by ptosis. b. triggers leading to facial discomfort. c. poor appetite caused by loss of taste. d. weakness on the affected side of the face. ANS: B The major clinical manifestation of trigeminal neuralgia is severe facial pain that is triggered by cutaneous
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covering seal‚ the seal is formed by cutting the inner or outer libia with or without removal of the cliterios (WHO‚ 2014). ( UNFPA‚ 2015). According to the European Network this procedure can result in death due to severe bleeding‚ hemorrhagic shock‚ neurogenic shock as a result of pain and trauma. Not only is there a possibility of undergoing immediate complications‚ but long term complications as well. Long term complications can include‚ Urinary tract infection‚ infertility‚ and cyst (WHO‚ 2014). Procedures
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The following paper will examine the etiology‚ mechanisms‚ and manifestations of spinal cord injuries‚ as well as how they relate to the case study. Given A.D.’s status‚ spinal shock can be suspected. Spinal shock is defined as “a sudden and complete transection of the spinal cord that results in complete loss of motor‚ sensory‚ reflex‚ and autonomic function below the level of injury‚” and is often the immediate response to an acute spinal cord injury (Hung‚ 2009). After A.D. was ejected from his
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Shoulder shrug noted the sensation to nipple line. Grip strength weak. When he is exposed he has a priapism present. His vitals are‚ BP is 90/60 heart rate is 60‚ respiration 24‚ GCS is 11; e3‚ m4‚ v4. His heart rate is slow because of presumed neurogenic shock. We placed him on 100% fio2 at 15 LPM by a NRB. We also got two large boar IVs‚ 2Liters of saline open wide‚ we load and go and as we are loading the patient into the bone box he vomits. We suction his airway then we put him on a monitor we
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Applying Orem ’s Theory to Care for Patients with Neurogenic Bladder Applying Orem ’s theory to care for patients with neurogenic bladder INTRODUCTION The core of nursing is theory guided practice. Nurses uses concepts‚ principles and theories of nursing to meet the health needs of the patients. Nursing practice is the art and science of caring and healing. In order to provide holistic and effective interventions‚ nurses use the theories to develop plan of care. Nursing is a combination of theories
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Allen’s spinal cord has decreased perfusion due to damage‚ and a broken vertebral bone. Also‚ there has been a disruptions of the sympathetic fibers of his autonomic nervous system therefore it can no longer stimulate the heart. Allen likely has spinal shock. 2. Upon admission to the hospital‚ Allen’s breathing was rapid and shallow‚ can you explain why? Pg. 969 Due to Allen’s fall he likely has an incompetent diaphragm due to injuring a cervical segment. This would alter effect the lower motor neurons
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Pain and discomfort of the shoulder and entire upper extremity is a significant problem for many people and it can be attributed to a wide variety of causes1. The focus of this paper is to discuss the cause‚ symptoms‚ diagnoses‚ treatment and management of thoracic outlet syndrome (TOS). TOS is caused by a neurovascular compression event that can elicit pain‚ paraesthesia or discomfort in areas varying from the chest to the fingertips2‚3. The ‘thoracic outlet’ is composed of three confined spaces
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forming a balloonlike sac. Common causes are atherosclerosis‚ syphilis‚ congenital blood vessel defects‚ and trauma. If untreated‚ the aneurysm enlarges and the blood vessel wall becomes so thin that it bursts. The result is massive hemorrhage with shock‚ severe pain‚ stroke‚ or death. Treatment may involve surgery in which the weakened area of the blood vessel is removed and replaced with a graft of synthetic material. Aortography (ā′-or-TOG-ra-fē) X-ray examination of the aorta and its main branches
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