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  • Week 14. Spinal Cord Injury

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    Mary Joy Roque
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    Spinal cord injuries can result from direct trauma, falls, reduced blood flow to the spinal cord, or vehicular accidents. Signs and symptoms include pain, tingling, loss of movement or sensation, and loss of bowel and bladder control. Diagnostic testing includes CT scans and MRIs. Management involves stabilizing the spine, administering oxygen, starting IV fluids, monitoring vitals, giving corticosteroids, maintaining temperature, starting an NGT and monitoring intake and output, maintaining range of motion exercises, turning every two hours, and providing ongoing nursing care to maintain spine alignment. Spinal cord injuries can result in complete or partial paralysis depending on the level and severity of injury.

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    Spinal Cord Injury Lecture

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    Spinal cord injuries can result from direct trauma, falls, reduced blood flow to the spinal cord, or vehicular accidents. Signs and symptoms include pain, tingling, loss of movement or sensation, and loss of bowel and bladder control. Diagnostic testing includes CT scans and MRIs. Management involves stabilizing the spine, administering oxygen, starting IV fluids, monitoring vitals, giving corticosteroids, maintaining temperature, starting an NGT and monitoring intake and output, maintaining range of motion exercises, turning every two hours, and providing ongoing nursing care to maintain spine alignment. Spinal cord injuries can result in complete or partial paralysis depending on the level and severity of injury.

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    16 views1 page

    Week 14. Spinal Cord Injury

    Uploaded by

    Mary Joy Roque
    Spinal cord injuries can result from direct trauma, falls, reduced blood flow to the spinal cord, or vehicular accidents. Signs and symptoms include pain, tingling, loss of movement or sensation, and loss of bowel and bladder control. Diagnostic testing includes CT scans and MRIs. Management involves stabilizing the spine, administering oxygen, starting IV fluids, monitoring vitals, giving corticosteroids, maintaining temperature, starting an NGT and monitoring intake and output, maintaining range of motion exercises, turning every two hours, and providing ongoing nursing care to maintain spine alignment. Spinal cord injuries can result in complete or partial paralysis depending on the level and severity of injury.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 1

    CRITICAL CARE NURSING

    Spinal Cord Injury


    The Spinal Cord
    • From brainstem to L3 (Nb), or L1-L2 (adults)
    • Pathway of nerve signals
    • 31 pairs of spinal Nerves

    Causes:
    • Direct trauma
    • Fall injury.
    • Severe ↓ blood flow on spinal cord
    • Vehicular Accident
    • Contact Sport
    Signs & Symptoms
    • Intense pain & tingling on site of injury
    • DOB &/or coughing reflex
    • X Movement
    • X or altered sensation
    Spinal Cord Injury
    • X Bowel &/or bladder control
    • Sustained damage to the spinal cord • ↑ sensation & reflexes/spasms
    • or nerves at the end of the spinal canal (cauda
    Diagnostic Testing
    equina)
    • CT Scan
    • Causes Partial or Total Paralysis
    • MRI
    Management
    • STABILIZE SPINE
    • Maintain spine alignment.
    • OXYGENATE
    • Start IV line (18g)
    • Monitor for ↓ HR
    • CORTICOSTEROIDS
    • Monitor Temp
    • IFC-UB
    • NGT
    • Monitor for I&O
    • Maintain ROM exercise
    • Turn side to side q 2 hours
    • Maintain spine alignment throughout
    • nursing care

    No Function & Some degree of Halo Brace


    sensation below motor and/or
    level of injury sensory function

    MARY JOY P. ROQUE LA CONSOLACION UNIVERSITY PHILIPPINES BSN 4B Page 1 of 1

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