What is the second priority assessment for a cervical laminectomy patient?

In the context of a cervical laminectomy, the focus of priority assessments revolves around neurological function, particularly because the procedure involves the cervical spine and can impact upper extremity function. Assessing arm motor and sensory function is critical as the surgery can affect nerve pathways that control these functions.

When a patient undergoes this type of spinal surgery, there is a risk of post-operative complications such as nerve damage or swelling that can compromise neurological integrity. Therefore, monitoring for any changes in motor or sensory function in the arms is essential for early detection of potential complications.

Heart rate, bowel sounds, and breathing pattern are also important assessments but are generally considered priorities after ensuring the integrity of neurological functions, especially in relation to a cervical procedure. Since the arms are directly influenced by the cervical spine, checking motor and sensory responses is vital for evaluating the effectiveness of the surgery and ensuring the patient’s recovery is on track. Thus, arm motor and sensory function is justifiably the second priority in this scenario.