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Flashcards in spinal cord tumors Deck (9)
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1

classified based on what?

location
intramedullary (in cord)
extramedullary (outside dural membrane)

2

manifestations of a spinal cord tumor

pain, weakness, loss of motor function, loss of reflexes, loss of sensation

3

treatment depends on the type of tumor and location

surgical removal
relieve compression- dexamethasone combined w radiation

4

h and p

neuro exam focus on pain or loss of reflex, sensation, motor function
ct
mri- best image
biopsy
test CSF

5

medical management of spinal cord tumors

surgical intervenion
sterotactic- beam of radiation
conventional radiation theray
spinal cord compression- results from a metastasis of and considered an emergency
high dose of decadron are effective in pain relief
palliative care- an option for some patients
chemotherapy- specific to the tumor

6

nursing management of spinal cord tumors

neuro check and pain management
CSF, drain, JP, Foley, SCDs
Cervical- HOB up, hard color in place, anterior incision, monitor UE, LE Neurovascular, airway
Cervical- HOB up, hard color in place, anterior incision, monitor UE, LE Neurovascular, airway

7

cervical tumor removal

Cervical- HOB up, hard color in place, anterior incision, monitor UE, LE Neurovascular, airway

8

lumbar tumor removal

Cervical- HOB up, hard color in place, anterior incision, monitor UE, LE Neurovascular, airway

9

caution with opioids because

don't want to mask signs of respiratory depression