Help With A Trauma Patient Case

  1. Hi, i need help with this case my instructor gave use. A patient who has spinal cord injury has not voided for 6-8 hours, it is a medical injury, what do you call that medical injury and what would you do? When doing my research i came across spinal shock and AUTONOMIC DYSREFLEXIA. Could the patient be having AD? i am not so sure with my answer if it is right , please someone help me if i am on the right track. Unfortunately that is the only info my teacher gave and no specifics. THank you in advance
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  2. 8 Comments

  3. by   JentheRN05
    sounds like AD but there's other symptoms to watch for as well. good luck
  4. by   AuntieRN
    I agree with JentheRN05. Sounds like AD.
  5. by   Dinith88
    Quote from Leng27
    Hi, i need help with this case my instructor gave use. A patient who has spinal cord injury has not voided for 6-8 hours, it is a medical injury, what do you call that medical injury and what would you do? When doing my research i came across spinal shock and AUTONOMIC DYSREFLEXIA. Could the patient be having AD? i am not so sure with my answer if it is right , please someone help me if i am on the right track. Unfortunately that is the only info my teacher gave and no specifics. THank you in advance

    NO. Not Autonomic Dysreflexia

    The answer is probably neurogenic bladder. Neurogenic bladder is an inability to void d/t nerve damage (in this case it's trauma).

    Autonomic Dysreflexia is more of a systemic response (seen in spinal cord injury) ...which can be triggered by various stuff...and can be an emergency
    because of hypertensive crisis.

    just google 'neurogenic bladder' and 'autonomic dysreflexia'.
  6. by   Dinith88
    Quote from Dinith88
    NO. Not Autonomic Dysreflexia

    The answer is probably neurogenic bladder. Neurogenic bladder is an inability to void d/t nerve damage (in this case it's trauma).

    Autonomic Dysreflexia is more of a systemic response (seen in spinal cord injury) ...which can be triggered by various stuff...and can be an emergency
    because of hypertensive crisis.

    just google 'neurogenic bladder' and 'autonomic dysreflexia'.

    just a clarification in case you mean something different... autonomic dysreflexia can be CAUSED by an over-full bladder in spinal-cord injured patients.... but to say a spinal-cord injured patient is having AD because
    he hasnt voided is wrong...

    (The only symptom you give is innability to void)
  7. by   Tweety
    Quote from Dinith88
    just a clarification in case you mean something different... autonomic dysreflexia can be CAUSED by an over-full bladder in spinal-cord injured patients.... but to say a spinal-cord injured patient is having AD because
    he hasnt voided is wrong...

    (The only symptom you give is innability to void)

    Agree. The inability to void is probably neurogenic.

    A full bladder can lead to AD, but the OP hasn't listed any of the symptoms of AD.

    The OP can focus on the fact that the bladder needs to be emptied to prevent this complication.
  8. by   SEOBowhntr
    Quote from Tweety
    Agree. The inability to void is probably neurogenic.

    A full bladder can lead to AD, but the OP hasn't listed any of the symptoms of AD.

    The OP can focus on the fact that the bladder needs to be emptied to prevent this complication.
    Agreed, but I've also seen patients who had pretty severe vasovagal responses after an inability to void and having very full bladders. One case the patient was scanned for 1500cc's of Urine!!!!! Bad thing about him was that we had to have a urologist do numerous dilitations to even place a catheter, which made him all that much more miserable!!!

    With the vague information, there are more questions than answers. Was the patient hyper- or hypotensive????
    Last edit by SEOBowhntr on Jan 30, '07
  9. by   BBFRN
    I agree that it's neurogenic bladder. The pt has only gone 6-8 hrs without voiding. I do that every day at work...lol.
  10. by   NicoleRN07
    I agree...neurogenic bladder

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