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AUTONOMIC DYSREFLEXIA - MANAGEMENT

Neurosurgery

AUTONOMIC DYSREFLEXIA - MANAGEMENT

1. Ensure catheter is not kinked or blocked.
2. Check bladder volume.
3. Sit patient up and loosen clothing with legs dangling over the bedside.
4. Check for faecal impaction.
5. If SBP > 150mmHg, use GTN, calcium channel blockers. Nifedipine should be used with aution in elderly patients. Other agents - hydralazine, AARB is useful in recurrent AD.
6. Monitor BP for at least 2 hours to ensure it does not recur.
7. Patients need good bladder, bowel, skin and toe care. Caregiver training is essential also.


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REFERENCES

1. Wilkinson, I. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press.
2. Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
3. Image: no reference available.

Ⓒ A. Manickam 2018

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