Autonomic Dysreflexia
The most common circulatory problem related to spinal cord injury appears in those people injured about the T-6 level. These individuals are prone to rapid increases in blood pressure, a syndrome called Autonomic Dysreflexia. Autonomic Dysreflexia is usually caused by a bowel or bladder that is too full for an extended period of time. Symptoms include:
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A fast, major increase in blood pressure - 20-40 mm Hg systolic higher than usual
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A pounding headache
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Heavy sweating
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Goose bumps
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Flushed or reddened skin
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Blurry vision or seeing spots
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A stuffy nose
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Anxiety or jitters
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Tightness in your chest, flutters in your heart or chest, or trouble breathing
If any of these signs appear, follow the steps below:
- Remain sitting or stay upright until blood pressure stabilizes
- Ensure urinary drainage by catheterization
- If bowel is distended, disimpact after inserting anesthetic jelly or ointment per rectum
- Assess for any other possible sources of noxious stimuli or irritant
- Hypertension should be treated medically if it persists
- For further assistance or in case of medical emergency call 911 immediately
Automatic Dysreflexia Card (Spanish)