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Female Parapleagia with decubitus ulcer, modified nutritional intake adequate caloric intake, Level of injury complications impaired sensation, Tetraplegia/ quadriplegia and quadriparesis involves all four extremities., machnisms of injury include: hyperflexion of spine, The spinal cord may be contused, lacerated, or compressed as a result of injury injury causes microscopic hemorrhages in gray matter and pia-arachnoid, secondary infection IV antibiotics via PICC line, machnisms of injury include: rotational force; twisting of the spine, narcotics Norco, increase protein intake Protein powder added to meals, Pain narcotics