Question

PART 1 MEDICAL-SURGICAL CASES CASE STUDY The disgnosls of the fractune is confirmed andT.W. is transferred from the ED to the surgical intenshvo ca unit (sicu. T.W. is taken to surgery 48 hours after the accident for spinal stabilization. He spends 2 ad tional days in SICU and S days in the neurology unit and now is in the rehabilitation unit. He contin to have paralysis of his lower extremities. Shorty after the transfer, T.W. turns on his call light and asks medication for headache. As you walk into the room, you immediately note that TW's face is flushed a he is profusely sweating 9. What complication do you suspect TW. is experiencing and why? 10. What further assessment data do you need to collect? 11. What could happen if autonomic dysreflexia (AD) is left untreated 12. What interventions do you need to perform for Tw? 13. After your prompt intervention, T.W's AD resolves and you need to document what happened. Write an example of a documentation entry describing this event. 14. Part of rehabilitation care includes teaching T.W. how to manage his continuous urinary drainage system (UDS). What would this teaching include?

Answer 1

9. Complications:

Hemorrhage and shock

Neuro vascular compromise

Fat embolism

Venous thrombosis

Pulmonary embolism

Crush syndrome

Compartment syndrome

DVT

UTI

10. Further assessment:

Vital signs

Signs and symptoms of shock

Distal pulse of affected size

Pain, pallor, paresthesia, pulse etc

Signs and symptoms if embolism

11. Untreated autonomic dysreflexia:

Seizure

Retinal hemorrhage

Pulmonary edema

Renal failure

Myocardial infarction

Cerebral hemorrhage

12.intervention

Adequate rest

Monitor vitamins

Trendlenburge positions turn patient into left side.

Pain control measures

Psychological support

4 questions answered as HOMEWORKLIB RULES norms