Beruflich Dokumente
Kultur Dokumente
01/05/09
Dr Suparna Gangopadhyay
Spinal Fellow
06/04/2000
Past Medical History
UTI : treated conservatively
AD in Dec 2008
Drinks Alcohol
sudden rise in BP
flushing, headache
abdominal spasms
Contd…
GTN patch and tablets
fall in BP
Less Common:
UTI (SCI patients may have positive urine culture)
Bowel distension / Haemorrhoids
Gallstones / Appendicitis or other abdominal pathology
Menstruation / Pregnancy, especially labor and delivery
Sexual intercourse / Ejaculation
DVT / PE
Burns or sunburn / Blisters
Insect bites
Temperature fluctuations
Constrictive clothing, shoes, or appliances
HO
Fractures or other trauma
Pain
History
Blurry vision
Headache
Blurred vision
Spots in the visual fields
Nasal congestion
Essential hypertension
Pheochromocytoma
Complications
Retinal/Cerebral hemorrhage
MI
Seizures
Management**
Check BP: If elevated, sit up immediately (if possible,
lower the legs as well) and loosen any clothing or
constrictive devices (Sitting leads to pooling of blood in
the LEs and may reduce BP)
Adult
Adult
0.4 mg per metered spray for SL use or 2% ointment
Start with 0.5-in strip to chest wall and titrate
Alternatively, 0.15-0.6 mg tab SL or 5 mcg/min IV
Investigate further
Ifprecipitating cause is still not clear, check for
less frequent causes
Education
IMPERATIVE
OT/ PT / Recreation therapists / Rehab
Nurse / Medical Professionals should
educate patient & family members about
AD