I keep a little, ever-expanding note on my phone where I jot down little morsels of goodness that I pick up while listening to or reading one of the many excellent sites/podcasts in the useful resource section.
I’ll try and transfer them here for your enlightenment.
After seeing a patient with autonomic dysreflexia one day I learnt this:
- usually following spinal injury above T6
- episode brought on by noxious stimuli below lesion (classic is a full bladder)
- paroxysmal high BP
- potentially life threatening
- people tend to use clonidine or nitrates to treat it
Check this out!
http://www.health.nsw.gov.au/resources/gmct/spinal/algorithm_pdf.asp
cheers for that cliff, nice algorithm.
the chap i saw settled with some GTN if i remember right. though i remember he’d had very little education about it, just something about take this spray if you feel funny and get a headache when your catheter is playing up!