Clonidine to prevent autonomic hypereflexia

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  • Symptoms may occur in 85% of the cases with lesions above T5
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  • Other examples of acceptable antihypertensive treatment would include sublingual and chewable nitrates, sublingual captopril 25 mg

    Treatment Prevention Complications Outlook Autonomic dysreflexia (AD) is when your involuntary nervous system overreacts to external or bodily stimuli

    1007/BF02291355

    Spasticity is a common secondary impairment following both complete and incomplete SCI that is characterized by increased muscle tone (hypertonus), increased

    The stimulation

    Autonomic hyperreflexia (AHR) is a potentially life-threatening hypertensive condition that develops in up to 85 % of patients with spinal cord injury (SCI) above the

    34 Clonidine, a selective agonist of α2-adrenergic receptors in the brainstem vasomotor center, lowers blood pressure by its sympatholytic effect

    1 Clonidine has also been used

    More than 80% of tetraplegic and high paraplegic patients experience this syndrome of disordered autonomic

    It is commonly triggered by afferent stimuli below the level of injury, such as distension of hollow viscera (bladder

    If you have any questions, talk with your doctor or others on your health care team

    They are also commonly used as psychoactive substances around the world

    Autonomic hyperreflexia is characterized by massive sympathetic activity set off by reflex stimulation from a variety of triggers (Table 114-1 )

    Monitor BP every 2-5 minutes

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    In such cases, paroxysmal reflex sympathetic activity develops in response to noxious stimuli below the level of the neurologic lesion

    Autonomic dysreflexia is a disorder of autonomic nervous system dysregulation that occurs in patients with a spinal cord injury and that can result in life-threatening hypertension

    Autonomic hyperreflexia (AH) may occur in up to 85% of patients with spinal lesions above the level of T6

    The mechanism involves spasticity of the autonomic nervous system

    Cord injury is usually above the T6 level, with dysreflexia unlikely to Autonomic hyperreflexia; Spinal cord injury - autonomic dysreflexia; SCI - autonomic dysreflexia

    The keywords on autonomic dysreflexia AND spinal cord injury gave rise to 558 articles and that on autonomic hyperreflexia AND spinal cord injury to 662 articles

    An overfilled bladder is believed to be the most common reason behind AD

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