T3 - Probs of CNS (Spinal Cord) (Josh) Flashcards Preview

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Flashcards in T3 - Probs of CNS (Spinal Cord) (Josh) Deck (88)
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1

What are some non-surgical methods of relieving Lumbrosacral Back Pain?

Pillow under knees

Meds (Acetaminopen and NSAIDs)

Heat

PT

Weight control

C and A Therapies (yoga, etc)

2

What are the Minimally Invasive Surg options of Lumbrosacral Back Pain?

Percutaneous Lumbar Discectomy

Thermodiscectomy

Laser-assisted Laparoscopic Lumbar Discectomy

3

What are the conventional surgeries for Lumbrosacral Back Pain?

Discectomy

Laminectomy

Spinal Fusion

4

Post-surgical care for Lumbrosacral Back Pain surgery?

Neuro assessments and vitals

Patient's ability to void

Pain control

Wound care

CSF check

Positioning/Mobility

5

What are the 5 types of Spinal Cord Injuries?

Hyperflexion

Hyperextension

Axial Loading (Vertical Compression)

Excessive Head Rotation

Penetration

6

Which section of SC are Hyperflexion SC injuries typically seen?

C5 and C6

7

Whiplash is an example of a --- SC injury.

Hyperextension

8

Jumping head first into shallow water is an example of which SC injury?

Axial Loading (Vertical Compression)

9

What is a Complete SC injury?

total loss of sensory and motor function below level of injury

10

What are the two types of Complete SC injuries?

Tetraplegia (quad)

Paraplegia

11

With Tetraplegia, where is the injury at?

C1-C8 region

12

Which section of Spinal Cord will result in paralysis of diaphragm if injured (Christopher Reeve)?

above C3

13

With ---, paralysis is of both legs.

paraplegia

14

Where is the injury with a Paraplegia SC injury?

Thoracolumbar Region (T2-L1)

15

What are Incomplete Spinal Cord Injuries?

mixed loss of voluntary motor activity and sensation below level of injury

16

What are the types of Incomplete SC injuries?

Brown-Sequard

Central Cord

Anterior

Posterior

17

Which type of Incomplete SC Injury:

- Transection/Damage of one side of SC below injury site

- Loss of voluntary motor function on SAME SIDE as injury

- Loss of pain, temp, and sensation on OPPOSITE SIDE of injury

Brown-Sequard

18

Which type of Incomplete SC Injury:

- Hematoma formation in central or cervical cord

- motor weakenss (more in upper extremities)

- Sensor function varies

- Varying degrees of bowel and bladder dysfunction

Central Cord Injury

19

Which Incomplete SC Injury is associated with Cervical Flexion and Cervical Extension injuries?

Central Cord Injury

20

Which Incomplete SC Injury:

- Loss of motor function below site of injury

- Loss of pain, temp, and crude sensation

Anterior Injury

21

Anterior Incomplete SC Injuries are associated with which injuries?

Flexion injuries

Acute Herniation of an intervertebral disc

22

Posterior Incomplete SC injuries are associated with which injuries?

Cervical Hyperextension Injuries

23

Which Incomplete SC Injury:

- Loss of position sense, vibration, and pressure

- May lose ability to walk due to loss of position sense

- Motor function, pain and temp sensation are INTACT

Posterior

24

What is Spinal Shock?

Complication of SCI where you lose complete sensation for a while before it gradually returns

25

How long can Spinal Shock last before sensation returns?

48 hrs to several weeks

26

What is the first reflex to typically return with Spinal Shock?

Anal Sphincter

27

What is med management for Spinal Shock?

Corticosteroids

***high dose of methylprednisolone IV within 8 hrs used to be done but is controversial b/c of immunosuppression

28

What is Neurogenic Shock?

complication of SCI

Neurogenic shock is a distributive type of shock resulting in low blood pressure, occasionally with a slowed heart rate, that is attributed to the disruption of the autonomic pathways within the spinal cord.

29

With Neurogenic Shock, what are the blood vessels unable to do?

What do you do to treat?

unable to constrict, which leads to decreased SVR, decreased preload, and decreased CO

IV fluids

30

What is HR like with Neurogenic Shock?

low HR