The client's bladder becomes distended. Show Autonomic dysreflexia (sometimes called hyperreflexia) can occur in clients with a spinal cord injury at or above the T6 level. Autonomic dysreflexia happens when there is an irritation, pain, or stimulus to the nervous system below the level of injury. There are many kinds of stimulation that can precipitate autonomic dysreflexia. For example, catheter changes, a distended bladder or bowel, enemas, and sudden position changes. Manifestations include elevated blood pressure, severe headache, and flushed face. What are nursing interventions for autonomic dysreflexia?Nursing Interventions include: Providing for total care needs of patient. Providing information to patient and family. Treating autonomic dysreflexia: Elevate the head immediately to a 90 degree angle and place the legs in a dependent position, if possible, to lower the blood pressure.
What is the emergency treatment for autonomic dysreflexia?Nitroglycerine 2% paste is the recommended initial emergency treatment of severe hypertension in patients with autonomic dysreflexia. [30] One to two inches of nitroglycerine 2% paste should be placed on the skin above the level of the spinal cord injury.
Which is the best position for a client with autonomic dysreflexia?If the patient becomes hypertensive during therapy and autonomic dysreflexia is the suspected cause, the therapist should place the patient in an upright position immediately. This takes advantage of an orthostatic response and helps with the pooling of blood in the lower extremities.
In which position would the nurse place a client with spinal cord injury experiencing autonomic dysreflexia?If You Are Experiencing an Episode of Autonomic Dysreflexia
First, you should get into the sitting position or elevate you head as much as possible. This will help to drop your blood pressure. Since bladder issues are the most common cause of AD, you or a caregiver should check your bladder.
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Which intervention should a nurse perform in the care of a client with autonomic dysreflexia?
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