T.W. is taken to surgery 48 hours after the accident for spinalstabilization. He spends 2 additional days in the SICU and 5 daysin the neurology unit and now is in the rehabilitation unit. Hecontinues to have paralysis of his lower extremities. Shortly afterthe transfer, T.W. turns on his call light and asks for medicationfor headache. As you walk into the room, you immediately note thatT.W.’s face is flushed, and he is profusely sweating.
11. What complication do you suspect T.W. is experiencing andwhy?
12. What further assessment data do you need to collect?
13. What interventions do you need to perform for T.W.?
14. What could happen if autonomic dysreflexia (AD) is leftuntreated?
15. After your prompt intervention, T.W.’s AD resolves and youneed to document what happened. Write an example of a documentationentry describing this event.
