Spinal Cord Injury

What is the quickest way to verify a suspected spinal cord injury when in the ED?

Feel patients spine

Ask patient to move

A portable spine x-ray

Collecting Information about injury

What is the most in detail diagnostic that can thoroughly evaluate the spinal cord (not just bone) and show blood clots or masses that may be compressing the spinal cord?

Xray

Ct scan

MRI

CBC

EMS brings in a patient to the ER and states that he has a possible spinal cord injury. The patient had slowed down in rush-hour traffic, but the car behind him failed to see slower traffic, and struck the patient at 60 mph. What type of mechanism injury did this patient experience?

Penetrating traum

Hyperextension

Axial Loading

Hyperflexion

What are damages that a patient with spinal cord injuries have? (Select all that apply)

Loss of bowel and bladder

Loss of motor function

Loss of technology

Loss of sensory perception

Hyperreflexive bowel, which occurs when the upper motor neurons are affected, means what?

Peristalsis is slow and sphincter are tight

Peristalsis is slow and sphincters are relaxed

Peristalsis normal and sphincters are tight

Peristalsis is normal and sphincters are relaxed

How long should a patient undergoing bowel retraining wait for his/her suppository to take effect?

5-10 min

15-20 min

25-30 min

35-40 min

A nurse is educating a patient on spinal shock, the nurse knows teaching is effective when the patient states:

�The loss of arterial and vascular tone in my body places me at higher risk for clotting”

�The symptoms of spinal shock may not show up until a week after the incident occurs”

�My motor and sensory function may never recover, but my reflexes may slowly come back”

�Spinal shock only occurs when the first responders crank that [soulja boy] defibrillator too high and hit my spinal cord”

Autonomic dysreflexia occurs when:

The deterioration of bone tissue over time causes an imbalance in the amount of mature blood cells in the bloodstream

There is a sudden, rapid rise in BP as a result of vasoconstriction in the vessels below the area of the SCI

There is a sudden, rapid decrease in BP as a result of vasodilation and loss of vascular tone below the area of the SCI

There are so many homeostasis imbalances caused by spinal cord damage that the body temporarily loses the ability to initiate compensatory actions

Who is more at risk to suffer from a spinal cord injury?

A healthy 43 year old female who occasionally rides bikes with a group of friends

A 76 year old male with osteoporosis who hang glides every other weekend

A 22 year old male that takes walks on the beach and likes smooth jazz

A 6 year old female blowing bubbles on the sidewalk

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Spinal Cord Injury

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