DYSREFLEXIA, AUTONOMIC (86)    NUPA ASSESSMENT PROBLEMS (1927.2)

• Assess for symptoms of autonomic dysreflexia (BP 20-40mmHg above baseline, headache, sweating above lesion level, chills, nasal congestion, goose bumps, blurred vision, patient states he has AD.)
• Assess for causative and/or contributing factors and remove noxious stimuli. (Foley obstructed, constipation, restrictive clothing/straps, pain)
• Place patient in sitting position or elevate head of bed.
• Remove ted hose and other restrictive clothing.
• Monitor blood pressure and pulse, per protocol.
• Notify doctor and implement pharmacologic treatment, per protocol.
• Educate patient/family about causes, symptoms and treatment.
• Other

Life-threatening, uninhibited sympathetic response of the nervous system 
to a noxious stimulus after a spinal cord injury at T6 or above which 
includes, but is not limited to, symptoms such as  paroxysmal 
hypertension, alterations in heart rate, diaphoresis, headache and 
apprehension.