Wards at the NSIC St Andrew’s 01296 315800 – 01 St Patrick’s 01296 315812 – 13 St George’s 01296 315807 – 08 St David’s 01296 315803 – 04 St Francis’ Paediatrics 01296 315805 – 06 Spinal Outpatients 01296 315828 – 29 Reception Team NSIC 01296 838939 Medical Secretaries NSIC 01296 838950 Contacting other specialities Email addresses: Clinical Psychology Team bht.nsicpsychology@nhs.net …
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What to do if AD is suspected:
- Most importantly, locate and remove the offending stimulus, if possible.
Early recognition of the condition is essential so that treatment can be started immediately. - Begin by looking for your most common causes: bladder, bowel, tight clothing, skin issues.
- Most importantly, locate and remove the offending stimulus, if possible.
NOTE: Keep in mind that when you remove the cause, your AD may get worse before it gets better.
Then follow these steps:
- Sit up or raise your head to 90 degrees
If you can lower your legs, do so - Loosen or remove anything tight
- Treat the cause
- Not everyone has access to a blood pressure (B/P) machine but if you can, check blood pressure every five minutes.
NOTE: It is more important to treat the cause first when you are dysreflexic, than trying to get a blood pressure reading.
In adults with a cervical level (neck) injury who often have low blood pressure, a rise in systolic (upper) blood pressure of 20 – 40mmHg (which may bring your B/P within the normal range) may indicate AD.
For other patients a systolic (upper) B/P of 150mmHg or more is an indicator of AD.
Make sure you know YOUR normal resting blood pressure (see below*) - Stay sitting up until blood pressure is normal
- Sit up or raise your head to 90 degrees
