SCI Chapter Outline

Who does Spinal Cord Injuries Occur Most With

How soon do Hemorrhagic Areas of the Spinal Cord Appear

WHen is the Extent of Injury and Prognosis most Accurately Determined

What is Spinal Shock

What is Neurogenic Shock
What Level of Injury is it Usually Associated With

How Are SCIs Classified

What is the worst Mechanism of Injury in SCI

What Are the Mechanisms of SCI Injury

What Are the Mechanisms of SCI Injury

Levels: What Happens if the Cervical SC is Injured vs. Thoracic, Lumbar, or Sacral

Degree: What is Complete Vs. Incomplete (partial) Injury

What is a Good Scale for Classifying the SCI

What is the Physiological Response in a Patient with a C4 Injury

What is the Physiological Response in SCI below C4

What is the Effect on Pt with Cervical and Thoracic SCI

If the Pt has an Artificial Airway, is Older Adult, or Reduced Vital Capacity & Loss of Abd & Intercostal Muscle Function what are Extremely Important Measures

What Happens to the Cardiovascular System with Injuries Above T6
What Kind of Monitoring is Necessary
What Rate Requires Intervention & What Kind

What are the Effects of SCI @: C4
@C6
@T6
@L1

What is the ASAI Scale Classification of Injury

What is the Response Acute Response of the Urinary and Post-Acute

GI: What is the Effect on Pt if Injury is @ T5 or Above & What are Interventions for This

GI: How can Intraabdominal Bleeding be Identified if patient has SCI and May Not Experience Pain or Tenderness

GI: What Happens W/To the Bowels During SCI How are These Conditions Manageable

What Happens to Thermoregulation with SCI

What May Occur w/ NG Suctioning
What Needs to be Monitored
What is Normal Loss with SCI and what Diet is Needed

What may Decreased Tissue Perfusion Cause
What is a Primary Problem with SCI MOst Highly Occurring in the First Three Months

Cord Injury and Rehabilitation Potential:
C1-C3

Cord Injury and Rehabilitation Potential:
C4

Cord Injury and Rehabilitation Potential:
C5

Cord Injury and Rehabilitation Potential:
C6

Cord Injury and Rehabilitation Potential:
C7- C8

Cord Injury and Rehabilitation Potential:
T1-T6

Cord Injury and Rehabilitation Potential:
T6-T12

Cord Injury and Rehabilitation Potential:
L1-L2

Cord Injury and Rehabilitation Potential:
L3-L4

What are Diagnostics Used With SCI
Which is the Preferred Method
What if Preferred is Unavail
What if Changing Neurologic Stats
What if Changing Mental Stats

What Diagnostics can be used for DVT

What SCI is considered Blunt Trauma
What is Considered Penetrating Trauma

What is Characteristic of Neurogenic Shock

What are Inital Interventions that Should Be Instituted

What Ongoing Monitoring Should the Nurse Be Performing

What are Diagnostics that May Be Done During Cervical Cord Injury

What is the Focus of Acute Nursing Care with Cervical Cord Injury

What is the Recommended Immobilization with SCI
Is it the Same if Pt has Penetrating SCI

How Should You as a Nurse Assess A Pt w/SCI:
Muscles, Hands, Sensations

What is Relative to Musculoskeletal Injuries and Trauma

When is Early Surgery Typically Indicated

When is a Fusion Procedure Typically Done

When is Methylprednisolone (MP) used in SCI

When is Low-Molecular Heparin Utilized

What Should Mean Arterial Pressure be Maintained @ & What Happens if it Falls Below

Neurologic Alterations Above C8 vs Below C8 Complete S&S

What Kind of Traction is Utilized in Cervical Injuries
How Would You As a Nurse Describe This
When Should You as a Nurse Remove This
What if Your Pins are Dislodged

How Should You as a Nurse Care for the Tong Sites

What is Kinetic Therapy
What is Typical after Cervical Fusion or other Stabilization Surgery
What is Typical for Stable Injury with No Surgery

How are Patients with Thoracic or Lumbar Spine Injuries Immobilized and What Purpose Does it Serve

In First 48 Hours Spinal Cord Edema May Increase What Situations Require Nursing Intervention and What Kind of Intervention

What is an Acceptable PaO2 (Identify) & what is an Acceptable PaCO2 (Identify) Value for a Patient with Uncomplicated Tetraplegia
What if your Pt Cannot Count to 10 Aloud W/O taking a Breath

How can You as a Nurse Perform Assisted (Augmented) Cough Tecnique
What Should you do if Crackles or Rhonchi

How Should a Nurse Apply and Care for SCDs

During First 48-72 hours after SCI How does GI Tract React what are Interventions

How often is Intermittent Catheterization Done
What if pt Urine Odor or Appearance Suspicious
When Should a Bowel Program be Started and How

Automic Dysreflexia S/S

What are Nursing Interventions for Autonomic Dysreflexia

What if Stool Impaction is Causing the Autonomic Dysreflexia What are your Nursing Interventions Now

What Other Nursing Interventions are Indicated for Autonomic Dysreflexia

What Would You Tache as S/S to Family & Pt

How Much Should a Pt with Neurogenic Bladder Take In
How Much if Indwelling Cath
When May Cath Drainage Time Be Extended vs Shortened

What Should You Teach a Pt and Family About Bowel Management After Spinal Cord Injury

What Should You Teach a Pt and Family About Bowel Management After Spinal Cord Injury Part Two

How to Care for Halo Vest

Psychogenic Erections/Vaginal Lubricants vs Reflexive Responses
What Happens With Menstruation