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Spinal Injury

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Submitted By sshukla9
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4. The patient is getting Methylprednisolone (Solu-medrol) which is a corticosteroid. Hyperglycemia is a side effect of Methylprednisolone.
The doctor would be ordering constant blood sugar checks on a patient on IV corticosteroid therapy although the patient does not have a history of hypertension.
Protonix: When spinal cord injury occurs above the level of T5, the primary GI problems that occur are related to hypo motility. Paralytic ileus and gastric distention develop as a result of decreased GI motility. Stress ulcers develop because of excessive release of hydrochloric acid in the stomach. Protonix is frequently used to prevent the occurrence of ulcers in the initial phase.
5. During an injury, the spinal column and the spinal cord can be injured anywhere along their length. The majority of the damage to the spinal cord occurs at the time of injury, but further damage can be caused by improper handling of the unstable spine and by the disruption of the blood supply, which can cause hypoxia and necrosis. Immediately following SCI, spinal shock occurs in the portion of the spinal cord that is injured and results in a complete loss of all motor, sensory, reflex, and autonomic function below the level of the injury. This loss is manifested in loss of bowel and bladder tone and peripheral vascular tone, which result in bladder distention, paralytic ileus, flaccid paralysis, and hypotension. After a period that varies from hours to months, but which usually lasts for 1 to 6 weeks, the spinal neurons gradually regain their excitability and the period of spinal shock ends.
6. Physical therapy: Range of motion exercises, Mobility training, Muscle strengthening. Occupational therapy (Splints, activities of daily living training) Bowel and bladder training Autonomic dysreflexia prevention Pressure ulcer prevention Recreational therapy

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