spinal cord compression , spinal problems ppt

ck7974937327 57 views 35 slides Feb 26, 2025
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this ppt is very use full for management i was deal the good management according to book others


Slide Content

CHHATTISHGARH NURSING COLLEGE ,DHANORA , BHILAI SEMINAR ON SUBJECT - ADULT HEALTH NURSING –II TOPIC - SPNAL CORD COMPRESSION PRESENTATED TO PRESENTED BY

SPINAL CORD COMPRESSION-

INTRODUCTION- SPINAL CORD COMPRESSION DEVELOPS WHEN THE SPINAL CORD IS COMPRESSED BY BONE FRAGEMENTS FROM A VERTEBRAL FRACTURE , A TUMOR , ABSCESS , RUPTURED INTERVERTEBRAL DISC OR OTHER LESION .

DEFINITION- “ACCORDING TO B. T. BASVANTHAPPA” SPINAL CORD COMPRESSION IS A PRESSURE ON THE SPINAL CORD THAT MAY BE CAUSED BY A TUMOR A SPINAL FRACTURE OR OTHER CONDITION “ ACCORDING TO WHO “ SPINAL CORD COMPRESSION IS CAUSED BY ANY CONDITION THAT PUTS PRESSURE ON YOUR SPINAL CORD

INCIDENCE - THE ANNUAL INCIDENCE OF SPINAL CORD COMPRESSION RANGE FROM IS .11.5 TO 53.4 CASES PER MILLION PEOPLE .

ANATOMY-

PHYSIOLOGY -

ETIOLOGY - 1 ) HEMATOMA >

2 ) TUMOR >

3) ABSESSES >

4 ) OSTEOPOROSIS >

5 ) FRACTURE >

RISK FACTOR - TRAUMATIC INJURY TUMOR RUPTURED DISK OSTEOARTHRITIS STENOSIS

PATHOPHYSIOLOGY- DUE TO ETIOLOGICAL FACTORS ( TRAUMA , TUMOR , ABSCES ) MOVES OUT OF ITS NORMAL ANATOMIC POSITION DISK IS RIPPED OR LEAK OUT AS RESULT AT COMPRESSION

TEAR MAY RELEASE INFLAMMATION WHICH MAY DIRECTLY CAUSES SEVERE PAIN DISK COMPRESSION ONE OR MORE NERVE ROOTS SPINAL CORD COMPRESSION

CLINICAL MANIFESTATION- BACK PAIN & NECK PAIN >

LOSS OF BOWEL OR BLADDER CONTROIL >

MUSCLE WEAKNESS >

TINGLING PAIN >

NUMBNESS >

DIAGNOSTIC EVALUATION - # MAGNETIC RESONANCE IMAGING

# BLOOD TEST

# URINE ANALYSIS

NEUROLOGICAL ASSESSMENT -

MANAGEMENT - MEDICAL MANAGEMENT - IBUPROFEN - 200-400MG - ORAL (TAB) DEXAMETASONE - 0.15-9 MG - IV/IM (INJ) LACTELOSE - 2 TSF - ORALY ( SYRUP ) AMOXICILLIN - 10 MG - ORAL (TAB ) BACLOFEN - 10MG - ORAL ( TAB )

SURGICAL MANAGEMENT - 1 ) VERTEBROPLASTY –

2 ) DISKECTOMY -

3 ) LUMBER DECOMPRESSION SURGERY -

NURSING MANAGEMENT -

DIETARY MANAGEMENT - 1) CALCIUM SUBSTANCE – GREEN LEAFY VEGETABLE , SEA MILK , ETC 2) PROTEIN – CHICKEN ,OATS , ALMONDS AND BROCCLI 3) IRON RICH FOOD – LIVER , LEAN , RED MEAT POULTRY , DRIED BEANS 4 ) IMMUNITY INCRESE FOODS- VITAMIN C – CITRUS FRUITS ,ORANGE , STAWBERRIES , KIWI VITAMIN E – NUTS , SEEDS , SPINACH

PREVENTION -

COMPLICATION -

HEALTH EDUCATION -

CHANDRAHAS DESHLAHARE