poikliothermia - correct answer lack of regulation of body temperature following spinal cord injury
what level of injury is diaphragm affected and if
... [Show More] complete injury occurs will require ventilation support? - correct answer C4
what is the loss of motor and reflexes below the level of injury called? - correct answer spinal shock. usually starts immediately and resolves in 2-16 weeks
neurogenic shock vs spinal shock - correct answer neurogenic shock = hypotension and bradycardia
spinal shock = loss of motor function and reflexes
Autonomic Dysreflexia (hyperreflexia) occurs above which level of injury? - correct answer T6
what electrolyte abnormality may occur as a result of prolonged non-weight bearing? - correct answer hypercalcemia - calcium moves from bones into serum
"lipstick sign" - correct answer when trauma pt has lipstick on her shirt. this can indicate hyperflexion injury
rear end mvc most likely to be what type of injury? 1) hyperflexion 2)hyper extension - correct answer hyperexstension. this is also known as whiplash
axial loading or vertical compression results in what type of spinal fractures? - correct answer burst fractures
burst fractures are considered stable or unstable? - correct answer unstable because bony pieces could be compressing or penetrating the spinal cord
repetitive MTBIs such as in sports can result in what complication? - correct answer chronic traumatic encephalopathy - degeneration and atrophy similar to dementia
TBI patients should have HOB in what position to lower ICP - correct answer 30 degrees or more
this is a potential infection secondary to depressed or open skull fractures? - correct answer meningitis
following a MTBI when can the patient return to playing football? - correct answer when the pt is symptom free
how long should seizure prophylaxis be continued following a severe TBI? - correct answer 7 days. if not seizure in 7 days, may be discontinued
when giving sedation and analgesia to TBI patients, what must be closely monitored to prevent secondary injury? - correct answer hypotension. vasodilation and hypotension lower CBF and can result in worse neurological outcomes
what is then temperature goal for sever TBI patients? - correct answer between 36 and 37 degrees. hyperthermia
what is the potential adverse effect of hypertonic saline administration? - correct answer central pontine myelinosis. those at highest risk are patients that are hyponatremic.
what is the osmotic diuretic used to treat cerebral edema? - correct answer mannitol. care should be taken to avoid hypovolemia and hypotension due to diuresis.
Hyperventilation with hypocarbia can lead to what in a TBI patient? - correct answer reduced CBF. PaCO2 is a potent vasodilator. hypocarbia results in vasoconstriction and decreased CBF.
what are the MAP and PaO2 goals for a TBI patient? - correct answer MAP and PaO2 greater than 80 mmHg [Show Less]