MossRehab: Managing Autonomic Dysreflexia After Spinal Cord Injury
People with spinal cord injures at or above T6 may be at risk for a condition called autonomic dysreflexia that can result in a dangerous spike in blood pressure. In this installment of the Living With a Spinal Cord Injury series from MossRehab, we explain more about the condition and offer strategies on recognizing and responding to it.
The Living With a Spinal Cord Injury series is made possible by a gift from David and Barbara Loeb.
MossRehab has been ranked among the top physical rehabilitation facilities in the U.S. for 25 years.
In this video, Dr Mike explains the cause of autonomic dysreflexia and its signs and symptoms.
What is Autonomic Dysreflexia?
Autonomic Dysreflexia (AD) is a serious complication that may be experienced by a person with spinal cord injury. This video will discuss signs, causes and methods on how to correct or prevent Autonomic Dysreflexia. This video is meant to be part of continued education. You are encouraged to use this information to have further conversations about Autonomic Dysreflexia with your healthcare team.
For more on living fully with a spinal cord injury, check out our Resource Library: https://craighospital.org/spinalcordinjuryresourcelibrary
Craig Hospital in Denver, Colorado, is a worldrenowned rehabilitation hospital that specializes exclusively in the neurorehabilitation and research of patients with spinal cord injury (SCI) and brain injury (BI). Craig is a notforprofit, freestanding, national center of excellence that has treated more than 34,500 patients with SCI and BI since 1956. https://craighospital.org
Disclaimer: The content in this video is intended for general informational purposes only and is not a substitute for professional medical advice or treatment for specific medical conditions. No professional relationship is implied or otherwise established by reading this document. You should not use this information to diagnose or treat a health problem or disease without consulting with a qualified healthcare provider. Craig Hospital is not affiliated with resources that may be referenced in this video. Craig Hospital assumes no liability for any thirdparty material or for any action or inaction taken as a result of any content or any suggestions made in this video and should not be relied upon without independent investigation. The information on this page is a public service provided by Craig Hospital and in no way represents a recommendation or endorsement by Craig Hospital. This video is provided for the private use of disabled individuals. Any use of this content by a corporation or other revenueseeking or generating organization is prohibited unless first approved by Craig Hospital.
Autonomic Dysreflexia Hyperreflexia Nursing Review: Symptoms, Treatment
Autonomic dysreflexia, also called autonomic hyperreflexia, is an exaggerated reflex response by the autonomic nervous system, which is caused by an irritating stimulus below the site of a spinal cord injury.
This autonomic dysreflexia nursing review will cover the causes, pathophysiology, symptoms, treatment, and nursing interventions for this condition.
Patients who are at the highest risk of developing autonomic dysrflexia are patients who’ve experienced a T6 or higher spinal cord injury.
Autonomic dysrflexia (AD) is caused by anything that causes an irritating stimulus BELOW the site of injury. However, a bladder, bowel, or skin issue tends to be the most common cause. A bladder issue being the most common of the three.
Signs and symptoms of autonomic dysreflexia include: throbbing headache, hypertension, sweating, flushing ABOVE the site of spinal injury, cool, pale BELOW the site of spinal injury, anxiety, goosebumps etc.
Nursing interventions for autonomic dysreflexia include prevention, detection, and action of the condition. Please watch the video for specific nursing interventions for autonomic hyperreflexia.
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Autonomic Dysreflexia for Nursing Students
This video provides an overview of the pathophysiology of autonomic dysreflexia and also includes the assessments and interventions for a patient with autonomic dysreflexia.
I am Gail L Lupica with over 20 years of experience teaching nursing at the prelicensure level. I earned a Bachelor Science in Nursing at SUNY Binghamton in 1986, a Master’s in Nursing Education in 1992 from New York University (NYU) and a PhD in Adult and PostSecondary Education in 2011. I have many years of experience in NCLEXRN test preparation and remediation.
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Study Topics: Autonomic Dysreflexia Made Easy
This week in Study Topics, we’re going over autonomic dysreflexia and its relationship with the nervous system.
If you want to watch part 2 Autonomic Dysreflexia Signs and Symptoms Explained, head over to your online classroom! You will find this video in session 5 in the written course and session 6 in the practical course.
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Autonomic dysreflexia (AD) is a potentially lifethreatening medical emergency that affects people with spinal cord injuries at the T6 level or higher. Although rare, some people with T7 and T8 injuries can develop AD. For most people, AD can be easily treated as well as prevented. The key is knowing your baseline blood pressure, triggers, and symptoms.
When triggered, AD requires quick and correct action or there may be serious consequence such as a stroke. Because many health professionals are not familiar with this condition, it is important for people who are at risk for AD, including the people close to them, to recognize the symptoms and know how to act.
Spinal Shock versus Autonomic Dysreflexia NCLEX Quick Tips
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Spinal Shock, Neurogenic Shock & Autonomic Hyperreflexia
This video explains the causes, pathophysiology, signs and symptoms, diagnostic criteria, diagnostic tests, treatment and nursing care of patients with sepsis and septic shock.
Please also refer to my other videos in the critical care playlist:
Spinal Shock, Neurogenic Shock, Autonomic Hyperreflexia:
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MossRehab: Managing Autonomic Dysreflexia After Spinal Cord Injury
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