Autonomic DysreflexiaDefinisiLife-threatening, unhibited sympathetic response of the nervous system to the noxious stimulus after a spinal cord injury at T7 or aboveKarakteristik Cardiopulmonary status Hydration Hypertension severity Hypotension severity Neorological status Neorological status: Cranial sensory / motor function Neorological status: peripheral Pain level Respiratory status Risk control: hypothermia Sensory function: tactile Sensory function: vision Vital signs Blurred vision Bradycardia Chest pain Chilling Conjugtival congestion Diaphoresis (above the injury) Headache (a diffuse pain in different portions of the head ang not confined to any nerve distribution area) Horners syndrome Metallic taste in mouth Nasal congestion Pallor (below the injury) Paresthesia Paroxysmal hypertension Pilomotor reflex Red splotches on skin (above the injury) Tachycardia Relatif faktor Bladder distension Bowel distension. Bowel elimination Deficient caregiver knowledge. Caregiver performance: diret care Circulation status Knowledge: disease process Knowledge: hypertension management Knowledge: treatment regimen Self-management: chronic disease Sensory function Symptom severity Tissue integrity: skin and mucous membranes Urinary elimination Deficient patient knowledge Skin irritationDomain 9 (Coping / Stress Tolerance)Class 3 (Neurobehavioral Stress)Kode 00009

otonom dysreflexiaDefinisimengancam jiwa, Respon simpatik tanpa hambatan dari sistem saraf terhadap stimulus berbahaya setelah cedera tulang belakang pada T7 atau di atasKarakteristik Status Cardiopulmonary Hidrasi keparahan Hipertensi keparahan Hipotensi Status neurologis Status neurologis: kranial sensorik / fungsi motorik Status neurologis: perifer Tingkat Nyeri Status pernapasan Kontrol Risiko: hipotermia Fungsi sensorik: taktil Fungsi sensoris: penglihatan Tanda-tanda vital Penglihatan kabur Bradikardia Nyeri dada mengerikan, menakutkan kemacetan konjungtiva Diaforesis (atas cedera) Sakit kepala (nyeri menyebar di bagian yang berbeda dari kepala ang tidak terbatas pada area distribusi saraf) Sindrom Horner rasa logam di mulut Hidung tersumbat Pucat (bawah cedera) Parestesia yang datang tiba-tiba hipertensi refleks pilomotor bercak-bercak merah pada kulit (di atas cedera) Takikardia

Relatif faktor kandung kemih distensi usus distensi. usus eliminasi pengetahuan pengasuh Kekurangan. Kinerja Pengasuh: perawatan langsung Status Sirkulasi Pengetahuan: proses penyakit Pengetahuan: manajemen hipertensi Pengetahuan: rejimen pengobatan Self-manajemen: penyakit kronis Fungsi sensoris keparahan gejala integritas jaringan: kulit dan membran mukosa eliminasi urin Pengetahuan pasien Kekurangan Iritasi kulitDomain 9 (Coping / Stres Toleransi)Kelas 3 (Neurobehavioral Stres)Kode 00009