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J.C.C.Q 47M - Coggle Diagram

- - - - Neuropathic pain relief
    - - neurogenic bowels
- - - - Neuropathic pain relief
- - - - Temperature: 36.5°C
      - BP: 126/67
      - MAP: 88
      - HR: 64
      - SpO2: 97% on room air
      - Alert and oriented ×4
      - Reported comfortable and stable
    - - RR:16
    - - WBC: 6.4
      - Creatinine: 50
      - eGFR: 122
    - - Urine clear with output of 1225mL
- - - - Neuropathic pain relief
- - - - antibiotic
    - - analgesic
  - - - prolong pressure on heel area causes tissue ischemia
    - - reduced blood flow causes ischemia leading to skin breakdown and tissue necrosis
    - - Bacteria enter the wound and into the bone
        causing osteomyelitis
- - - - Spinal Compression Injury above T6 blocks spinal signals below injury
    - - trigger below injury activates sympathetic nervous system (SNS)
    - - Causes uncontrolled sympathetic vasoconstriction
    - - brain senses high BP but cannot send signals past the SCI
    - - Sympathetic vasoconstriction causes severe hypertension
  - - - hypertensive episode
- - - - Chronic recurrent rectal bleeding
    - - Poor wound healing
      - Reduced tissue oxygenation
      - Increased strain on the heart
    - - Fatigue
      - Weakness
      - Pallor
      - Dizziness
      - Tachycardia
      - Shortness of breath
    - - Chronic blood loss decreases red blood cells and hemoglobin.
      - Lower hemoglobin reduces the blood’s ability to carry oxygen.
      - Reduced oxygen delivery can cause fatigue, weakness, dizziness, and poor healing.
    - - Monitor Hgb, Hct, and RBC trends.
        
        Hgb 96 g/L
        Platelets 396
      - Assess fatigue, pallor, dizziness, dyspnea, HR, and BP.
      - Monitor stool for continued bleeding.
      - Report falling hemoglobin or worsening symptoms.
    - - Pace activity and provide rest periods.
      - Fall precautions if weak or dizzy.