Clinical protocol


APPENDIX 3 CARE AND MANAGEMENT OF AUTONOMIC DYSREFLEXIA



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APPENDIX 3 CARE AND MANAGEMENT OF AUTONOMIC DYSREFLEXIA Autonomic Dysreflexia (AD) is a syndrome unique to patients with spinal cord injury at the level of the sixth thoracic vertebrae or above. It is a sudden, potentially lethal rise in blood pressure and is often triggered by acute pain or a harmful stimulus, below the level of the injury. It should always be treated as a medical emergency if left untreated it can be fatal due to the risk of cerebral haemorrhage, seizures or cardiac arrest (Foxley, 2007). Patients who have been discharged from a spinal injury unit should never have their bowel management programme altered without first consulting with their spinal injury unit, that other methods of evacuation are suitable. The risk assessment is part of a bowel dysfunction assessment and a full medical history should be considered prior to any bowel related procedures


Clinical protocol
Executive summary
Governance arrangements
Related policies/procedures
Document tracking sheet
Contents page
Ethnicity and diversity
Roles and responsibilities
Contraindications
Training and awareness
Monitoring compliance and effectiveness of this policy
Monitoring matrix:
Equality analysis
Glossary and abbreviations
Appendix 2 bristol stool form scale
Knowledge and
Performance criteria
Interpersonal
Common causes of autonomic dysreflexia.
Signs and symptoms
Specialist advice



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