In the event of autonomic dysreflexia (AD) in the patient with a spinal cord injury, the initial intervention should be to:
a. elevate the head of the bed to lower blood pressure.
b. notify the charge nurse to get assistance.
c. increase IV fluid rate to ensure adequate circulating volume.
d. administer anti-hypertensive medication.
A
Autonomic dysreflexia (hyperreflexia) response is potentially dangerous to the patient, because it can produce vasoconstriction of the arterioles with an immediate elevation of blood pressure. Elevating the head of bed is the initial intervention to decrease the rising blood pressure. Notify-ing the charge nurse can be done after initial interventions. Increasing the IV fluid rate may fur-ther increase the blood pressure. The cause of AD should be addressed before administering any hypertensive medication.
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