Karteikarten
Spinal Cord Injury Terminology
Karten in diesem Stapel (32)
- 1Tetraplegia (quadriplegia)Partial of full Paralysis of the four limbs and trunk musculature
- 2ParaplegiaParalysis of the LEs with some involvement of the trunk and hips
- 3Complete lesionsAbsence of motor or sensory function of the spinal cord below the level of the injury
- 4Incomplete lesionsMay involve several neurological segments, and some spinal cord function may be in partially or completely intact
- 5Central Cord SyndromeCellular destruction occurring in the center of the spinal cord
- 6Affects of Central Cord SyndromeParalysis and sensory loss in the UEs d/t damage to centrally located nerve tracks
- 7Brown-Sequard Syndrome (Lateral Damage)One side of the spinal cord is damaged, as in a stabbing or gunshot injury
- 8Ipsilateral side of Brown-Sequard SyndromeMotor paralysis and loss of proprioception below the level of injury
- 9Contralateral side of Brown-Sequard SyndromeLoss of pain, temperature, and touch sensation
- 10Cauda Equina (Peripheral)Involves peripheral nerves, usually occurs with fractures below L2 level, flaccid-type paralysis typical
- 11Deficits of Cauda Equina injuriesHighly variable and asymmetrical sensory and motor deficits
- 12Anterior Spinal Cord SyndromeInjury that damages the spinal artery or anterior aspect of the spinal cord
- 13Deficits of Anterior Spinal Cord SyndromeParalysis and loss of pain, temperature, and touch sensation. Proprioception is preserved.
- 14Conus Medullaris SyndromeInjury of the sacral cord (conus) and lumbar nerve roots within the neural canal.
- 15Deficits of Conus Medullaris SyndromeAreflexic bladder, bowel, and lower extremities.
- 16Prognosis for complete lesionsMotor function less likely to return if no sensation or return of motor function below level of lesion 24-48hrs after injury
- 17Prognosis for incomplete lesionsProgressive return of motor function possible; dependent on when recovery process begins
- 18Goals of early medical treatment of SCIRestore normal alignment of the spine, maintain stabilization of the injured area, decompress neurological structures that are under pressure
- 19Goals of SCI surgeryDecompress the spinal cord, achieve spinal spinal stability and normal bony alignment
- 20Complications of Spinal Cord Injury1. Skin breakdown, pressure sores, or decubitus ulcers; 2. Decreased vital capacity; 3. Osteoporosis; 4. Orthostatic Hypotension; 5. Autonomic Dysreflexia; 6. Spasticity; 7. Heterotopic Ossification
- 21Areas to most likely develop skin breakdownBony prominences: sacrum, ishium, trochanters, elbows, heels, iliac crest, scapula, knees, toes, rib cage
- 22Signs of developing skins problems1. Skin reddens yet blanches when pressed 2. Reddened area does not blanch (death of tissue -necrosis) 3. Blister or ulceration appears in area
- 23Methods to prevent pressure sores1. Routinely turning in bed; 2. Use specialized mattresses & pressure relief w/c cushions; 3. Use padding to protect bony prominences; 4. weight shifts
- 24Decreased Vital CapacityLimited chest expansion and decreased ability to cough d/t weakness/paralysis of diaphragm, intercostal, and latissimus dorsi muscles
- 25Common areas of pathological fractures d/t OsteoporosisLEs: supracondylar area of the femur, proxmial tibia, distal tibia, intertrochanteric area of femur, neck of femur
- 26Causes of Orthostatic HypotensionLack of abdominal and LE muscle leads to blood pooling; rapid change in body position (supine to upright)
- 27Symptoms of Orthostatic HypotensionDizziness, nausea, loss of consciousness
- 28How to reduce Orthostatic Hypotension symptoms1. Recline Pt quickly; if in w/c, tipped back with legs elevated until symptoms subside 2. Dress with abdominal binders, compression garments, antiembolism stockings, meds
- 29Autonomic DysreflexiaTypical in injuries above T6; reflex action of the autonomic nervous system in response to some internal stimulus
- 30Symptoms of Autonomic Dysreflexiaimmediate pounding headache, anxiety, perspiration, flushing chills, nasal congestion, sudden onset of hypertension, bradycardia
- 31Treatment of Autonomic Dysreflexia1. Place Pt in upright position 2. Remove restrictions (abdominal binders, elastic stockings) 3. Drain bladder 4. Check leg bag tubing for obstruction
- 32Persons with injuries above T6 typically have this conditionAutonomic Dysreflexia
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- Beschreibung
- NBCOT Occupational Therapy Assistant Karteikarten am Spinal Cord Injury Terminology, erstellt von Jordan Jones am 14/06/2018.
- Erstellt von
- Jordan Jones · Jun 2018
- Aktualisiert
- 18 Jul 2018
- Aufrufe
- 48
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