A patient with a T6 spinal cord injury develops autonomic Dysreflexia, an emergency situation that can occur after spinal shock. What is the first line and initial treatment for the patient?
  1. Maintain pulmonary integrity through oxygenation delivery and maintaining a patent airway.
  2. Remove the noxious stimulant.
  3. Assess to see if the patient has taken Viagra within the last 24 hours.
  4. Administer pain and anti anxiety medication.
Explanation
Answer: B - The first line and initial treatment for autonomic Dysreflexia is to remove the noxious stimulant and then administer antihypertensive medications. The patient should be assessed to see if they have had Viagra since nitrates are often used to manage the hypertension and Viagra interacts with nitrates. Noxious stimulants that are often the culprit of autonomic Dysreflexia include urinary catheters, distended bowel, skin pressure or pressure ulcers.
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