Spinal Lesions/Injuries Sensory/motor loss Urinary retention Fractures due to osteopenia Bowel impaction Pressure sores Increase in shoulder injuries. Hand, median/ulnar nerve injuries Access Punctures
High Spinal Injuries Thermoregulation Autonomic dysreflexia Boosting Impaired cardiac response above T2-4 Loss of intercostal muscle function
Thermoregulation Loss of autonomic function Loss of sensory afferent impulses below level of lesion may limit hypothalamic response. Loss of sweating/vasodilatation. Loss of shivering Strategies needed for extreme conditions
Autonomic Dysreflexia Medical emergency Lesions above the splancnic sympathetic outflow (C2-T6) Irritant stimuli below this level
Causes Bladder distension Irritation of the urinary tract Skin ulcers Fractures Abdominal emergencies Uterine contractions
Mechanism Impulses ascend the spinal chord to the sympathetic cell bodies resulting in massive sympathetic discharge.