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N4117
Exam III Spinal Cord Injury
Question | Answer |
---|---|
Peripheral parasthesias, motor loss (symetric, bilateral, ascending) and sensory loss (cranial nerves III, VII, IX, X, XI, XII)...give a situation with symptoms related to this? | Guillain-Barre Syndrome (GBS) |
Nurse notices pt is clumpsy and has spastic muscles...What is an appropriate question to ask the pt? | Are you having difficulty swallowing? |
Hyperflexion injury of C5 with loss of motor functions below the level of injury. The nurse knows this is caused by damage to? | Corticospinal tract |
Brown-sequared syndrome | Loss of motor function on injured side |
Pt recovering form UMN spinal cord injury...nursing interventions would be? | Increase fiber, use laxatives, digital stimulation |
Name one major diference b/w GBS & ALS | GBS, Pt will recover. ALS no recovery, Pt will die. |
Name the two components of spinal cord | Central grey mater and white mater |
What is dermatone for? | Testing levels of sensation and to pinpoint levels of injury |
Cervical spinal nerve roots C1 - C7 corresponds with ...? | Upper aspect of verbral bodies |
Sensation of C7 nerves is for ...? | Middle finger |
sensation @ T4 spinal nerve roots is aproximately @ what level? | The nipple line |
Sensation of T10 spinal nerve roots is approximately at what level? | The abdomen |
Sensation of T12 spinal nerve root is approximately @ what level? | The pubic bone |
The spinal cord ends @ approximately where? | L1 & L2 |
Sensation @ lumber nerves are over where? | The legs |
Sensation @ S3, S4, & S5 nerves is ...? | Perineal (genital) area |
All sensory tacts are what? | Ascending |
All motor tracts are what? | Descending |
What is nursing priority for pt with ascending weakness? | Monitor pt's tidal volume |
Corticospinal tract is responsible for what? | Descending voluntary motor movement |
Acronym for Dorsal & ventral | Dorsal back door (going in). Ventral front (coming out). I go in thru the back door & exit thru the front door. |