Which intervention by a nurse is effective in the prevention of autonomic dysreflexia in the patient with an SCI?

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Autonomic dysreflexia is a potentially life-threatening emergency that can occur in patients with SCI, usually above the level of T6. It is characterized by a sudden and abrupt increase in blood pressure due to an uncontrolled sympathetic response triggered by a noxious stimulus below the level of injury. The most common cause is a distended bladder or rectum. Therefore, ensuring the patency of the urinary catheter and monitoring the drainage of urine is the most effective intervention in preventing autonomic dysreflexia. Other helpful measures include avoiding triggers such as pressure ulcers, bladder infections, and ingrown toenails, and maintaining a calm and quiet environment. Warm baths may exacerbate autonomic dysreflexia by promoting vasodilation and increasing blood pressure. Dimming the lights may not prevent dysreflexia, but it may be helpful in promoting a restful environment. Offering frequent small meals may be helpful in preventing constipation, which can also trigger dysreflexia, but it is not the most effective intervention.

Which Intervention by a Nurse Is Effective in the Prevention