Autonomic Dysreflexia. Anne Seaman Lead Nurse Duke of Cornwall Spinal Treatment Centre . What is Autonomic Dysreflexia?. Can occur quickly Is a life threatening medical emergency. Dysreflexia. First described in 1917,
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Duke of Cornwall Spinal Treatment Centre
Can occur quickly
Is a life threatening medical emergency
All are rare
Research shows that the most common causes
1over distended bladder
2 over distended bowel
(Ceron & Rakowski-Reinhardt 1991, Dunn 1991, Finocchiaro &
Herzfeld 1990, McGuire & Kumar 1986 cited Adsit & Bishop 1995)
External temperature extremes
Clothing or shoes too tight
Digital stimulation of the bowel
Bladder spasm and stones
Sphincter bladder dyssynergia
Burns and Sunburn
DVT & PE
Perforated gastric ulcer
Oesophageal refluxOther Possible Triggers
Some patients may not experience the
particularly the thumping headache
May complain of a ‘tight chest’ instead
Are you at risk of AD?
(Only if diastolic BP is greater than 100mmHg)
Patient should have a supply
Symptoms: Put an ‘X’ in the box of all the symptoms you experienced.
Blotchy/flushed skin above SCI
It is advisable to carry suitable equipment
If you out and unable to find a suitable place to manage
an episode of AD call 999 for help.
In your local area HAVE A PLAN.