A client with a spinal cord injury was given methylprednisolone in the emergency department. The nurse realizes this medication was provided in order to:
1. Cause an increase in blood glucose level.
2. Improve the ability to be adequately ventilated.
3. Prevent cord damage from ischemia and edema.
4. Improve the level of consciousness.
3. Prevent cord damage from ischemia and edema.
Rationale:
High-dose steroid protocol using methylprednisolone must be implemented within 8 hours of the injury to improve neurologic recovery. Clinical research indicates that the use of this adrenocorticosteroid is effective in preventing secondary spinal cord damage from edema and ischemia. This medication may cause hyperglycemia if the client also has a diagnosis of diabetes. This medication is not provided to improve respirations or improve the level of consciousness.
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