Spinal cord injuries and disorders can result in a potential for autonomic dysreflexia. This is more likely with high-level cord pathology. Autonomic dydreflexia manifests as precipitous drops or elevation in blood pressure or pulse, often accompanied by a pounding headache, hyperventilation, and flushing or sweating above the level of the lesion, The cause is usurpation of the body detectable only to the autonomic nervous system. Possible causes may include a full bladder, a facial impaction, tightfitting clothing or shoes, a skin irritation, a DVT, or an infection. Prevention includes a routine bowel and bladder program, daily skin inspection, and careful dressing. Treatment of acute autonomic dysreflexia includes blood pressure stabilization as well as determination and correction of etiologyl and bladder program, daily skin inspection, and careful dressing. Treatment of acute autonomic dysreflexia includes blood pressure stabilization as well as determination and correction of etiology