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Spinal injury ppt
- 1. SPINAL INJURY MANALI H SOLANKI F.Y.M.SC.NURSING STUDENT J G COLLEGE OF NURSING
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- 6. DEFINITION Spinal cord injury (SCI) is damage to the spinal cord that results in a loss of function such as mobility or feeling.
- 7. TYPES OF SPINALCORD INJURY Complete Spinal Cord Injuries Complete paraplegia is described as permanent loss of motor and nerve function at T1 level or below, resulting in loss of sensation and movement in the legs, bowel, bladder, and sexual region. Arms and hands retain normal function.
- 8. INCOMPLETE SPINAL CORD INJURIES Anterior cord syndrome
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- 13. RISK FACTORS Men Young adults and seniors People who are active in sports People with predisposing conditions
- 14. CAUSES: Bullet or stab wound Traumatic injury Electric shock Extreme twisting of the middle of the body Landing on the head during a sports injury Fall from a great height
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- 16. CERVICAL (NECK) INJURIES Breathing difficulties Loss of normal bowel and bladder control Numbness Sensory changes Spasticity (increased muscle tone)
- 17. THORACIC (CHEST LEVEL)INJURIES Loss of normal bowel and bladder control Numbness Sensory changes Spasticity (increased muscle tone) Weakness, paralysis
- 18. LUMBAR SACRAL (LOWERBACK) INJURIES Loss of normal bowel and bladder control (you may have constipation, leakage, and bladder spasms) Numbness Pain Sensory changes Weakness and paralysis
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- 20. DIAGNOSTIC TESTS Complete blood count (e.g. Hb, RBC, WBC) Arterial blood gas level PaO2:85-95 mm of Hg PaCO2:35-45 mm of Hg
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- 26. POSSIBLE COMPLICATIONS Bloodpressure changes - can be extreme (autonomic hyperreflexia) Chronic kidney disease Complications of immobility: Deep vein thrombosis Pulmonary infections Skin breakdown Contractures
- 27. Increased risk of urinary tract infections Loss of bladder control Loss of bowel control Loss of sensation Loss of sexual functioning (male impotence)
- 28. Muscle spasticity Paralysis of breathing muscles Paralysis (paraplegia, quadriplegia) Pressure sores Shock
- 29. MEDICAL MANAGEMENT: Whole blood NS RL Hydrocortisone: Action : steroids
- 30. Nor epinephrine action: adrenergic drug Epinephrine action: α and β adrenergic drug Dopamine action: adrenergic, anti shock drug
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- 33. Impaired physicalmobility related to loss of motor function Fluid volume deficit related to decrease LOC Risk for injury related to loss of motor function
- 34. Urinary retention related to level of injury Risk for Impaired skin integrity related to trauma Knowledge deficit regarding the treatment modalities and current situation. Anxiety related to outcome of diseases as evidenced by poor concentration on work, isolation from others, rude behaviour
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- 37. REHABILITATION Cognitive Rehabilitation Therapy SpeechTherapy Mental Rehabilitation Physical Exercise Occupational Therapy
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