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QOD 11: Breathing Difficulties in a Patient with Spinal Cord Injury (Neuro/Basic Care and Comfort

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Answer:

A.  The patient has a Glasgow Coma Score of 8

Rationale: 

A spinal cord injury produces paresthesia below the level of the injury; paraplegia indicates an injury in which the patient cannot move the lower extremities, while quadriplegia is a higher-level injury where the patient often cannot move the upper or lower extremities. With a higher-level injury, the patient may also need breathing support; if the spinal cord was injured above the level that stimulates breathing, the patient may need intubation. Respiratory failure is an indication for intubation, as is a GCS result of <9, which indicates a decreased level of consciousness.

Date Published - Jan 25, 2016
Date Modified - Jul 7, 2016