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    Positioning Every 2 Hours: Maintain Adequate Fluid Intake

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    Charisse Taylan
    The document provides a concept map matching medications to their intended uses for spinal cord injuries. It also lists important nursing interventions for various body systems including respiratory, tissue perfusion, intake and output, neurological status, gastrointestinal function, and skin integrity. The nursing interventions include monitoring respiratory status, raising the head of the bed to prevent hypotension, maintaining fluid intake, checking bowel sounds, and repositioning every two hours.

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    Positioning Every 2 Hours: Maintain Adequate Fluid Intake

    Uploaded by

    Charisse Taylan
    55 views2 pages
    The document provides a concept map matching medications to their intended uses for spinal cord injuries. It also lists important nursing interventions for various body systems including respiratory, tissue perfusion, intake and output, neurological status, gastrointestinal function, and skin integrity. The nursing interventions include monitoring respiratory status, raising the head of the bed to prevent hypotension, maintaining fluid intake, checking bowel sounds, and repositioning every two hours.

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    AMS-SpinalCordInjury_ConceptMap_InteractivePDF

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    The document provides a concept map matching medications to their intended uses for spinal cord injuries. It also lists important nursing interventions for various body systems including respiratory, tissue perfusion, intake and output, neurological status, gastrointestinal function, and skin integrity. The nursing interventions include monitoring respiratory status, raising the head of the bed to prevent hypotension, maintaining fluid intake, checking bowel sounds, and repositioning every two hours.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    55 views2 pages

    Positioning Every 2 Hours: Maintain Adequate Fluid Intake

    Uploaded by

    Charisse Taylan
    The document provides a concept map matching medications to their intended uses for spinal cord injuries. It also lists important nursing interventions for various body systems including respiratory, tissue perfusion, intake and output, neurological status, gastrointestinal function, and skin integrity. The nursing interventions include monitoring respiratory status, raising the head of the bed to prevent hypotension, maintaining fluid intake, checking bowel sounds, and repositioning every two hours.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    Concept Map: Spinal Cord Injury

    Match the Medication to its Intended Use For Each Content Area Below, List 1 Intervention
    Important for the Nurse to Complete
    Medication Intended Use Respiratory
    Glucocorticoid d a) Used to treat Bradycardia monitor for the rate and depth of the breathing.
    b) Used for severe muscle Provide suction as needed
    Vasopressors j spasticity
    c) Given for mild pain
    Antimuscarinic a d) Decreasing edema of the Tissue Perfusion (Neurogenic Shock)
    spinal cord
    Muscle relaxants b raise head of the bed and be ready to lower the angle if dizzy
    e) Given to treat hypotension
    f) Decreases spasticity of the
    Cholinergics f
    bladder
    Anticoagulants g g) Prophylaxis for deep-vein
    thrombosis Intake and Output
    Stool Softeners h h) Prevent constipation

    Vasodilators i
    i) Treat episodes of
    hypertension
    maintain adequate fluid intake
    j) Treatment of hypotension
    Analgesics c during neurogenic shock Neurological Status/Muscle Strength

    monitor LOS and GCS, tone of the muscles


    Pick TRUE or FALSE on Teaching Points
    Gastrointestinal Function
    • Teach/reinforce use of incentive spirometer TRUE

    • Teach/reinforce to observe signs of bleeding TRUE


    check for bowel movements and sounds
    • Teach/reinforce not do to Crede’s method FALSE Skin Integrity

    positioning every 2 hours


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    Concept Map: Spinal Cord Injury

    Match the Medication to its Intended Use For Each Content Area Below, List 1 Intervention
    Important for the Nurse to Complete
    Medication Intended Use Respiratory
    Glucocorticoid d a) Used to treat Bradycardia • Monitor respiratory status. • Assist the client to cough by applying
    b) Used for severe muscle • Provide oxygen and suction as needed. abdominal pressure when attempting
    Vasopressors j spasticity • Assist with intubation and mechanical to cough
    ventilation if necessary.
    c) Given for mild pain
    Antimuscarinic a d) Decreasing edema of the Tissue Perfusion (Neurogenic Shock)
    spinal cord
    Muscle relaxants b • When in upright position these clients • Transfer in a reclining wheelchair with
    e) Given to treat hypotension
    will experience postural hypotension. the back reclined.
    f) Decreases spasticity of the • Raise the head of bed and be ready to • Monitor for signs and symptoms of
    Cholinergics f
    bladder lower the angle if dizziness occurs. thrombophlebitis.
    Anticoagulants g g) Prophylaxis for deep-vein
    thrombosis Intake and Output
    Stool Softeners h h) Prevent constipation
    • The client may be NPO for several days
    i) Treat episodes of
    • Maintain an adequate fluid intake
    Vasodilators i hypertension
    j) Treatment of hypotension
    Analgesics c during neurogenic shock Neurological Status/Muscle Strength
    • After determining the baseline, monitor for increased loss

    Pick TRUE or FALSE on Teaching Points


    Gastrointestinal Function
    • Teach/reinforce use of incentive spirometer TRUE
    • Monitor bowel sounds
    • Teach/reinforce to observe signs of bleeding TRUE

    • Teach/reinforce not do to Crede’s method FALSE Skin Integrity


    • Change position every two hours

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