Following the treatments that have been administered to address the spinal cord injury,

corresponding management schemes have to lead the patient to recovery. The nursing care
for spinal cord injury patients encompasses concentrated care on the maintenance of stable
blood pressure (BP), ensuring lung function, prevention or addressing infection and other
complications, and reduction of patient anxiety and adjustment to changes.

Maintenance of Blood Pressure

Patients who have obtained cervical and high thoracic spinal injuries may be susceptible
to neurologic shock manifested as either elevated or lowered blood pressure; hence, it is vital
to sustain a mean arterial pressure (MAP) of 85 to 90 mm Hg for 7 days to reduce the likelihood
to develop hypotension or hypertension.

Ensuring lung function

Being the most common complication area, respiratory function has to be monitored
systematically because High thoracic to cervical spinal cord injuries put the patient at risk for
respiratory insufficiency. This management scheme to be practiced is characterized by the
close monitoring of the patient’s respiratory rate, depth, and pattern, monitoring of breath
sounds, and cough strength and effectiveness.

Prevention or addressing infection

The clinically affiliated complication following spinal cord injury in T6 and its preceding
region. is the abrupt loss of voluntary muscle control and reflexes, resulting in acute urinary
retention which can then develop into Urinary Tract Infection (UTI) To address this probable
complication, an indwelling urinary catheter must be placed to decompress the bladder, a close
urinary output monitoring are necessary to effectively promote bladder function.

Reduction of Patient Anxiety and Adjustment to Changes

With the considerable changes that follow a spinal cord injury, it is necessary for the
patient to feel secure and suppress emotional vulnerability. Thes challenges can be overcome
through the involvement of the family in identifying appropriate diversional activities, avoidance
of sympathy and helping the patient realize his potential to supply the necessary emotional
support for the patient,