Final answer:
A) 90 mm Hg To prevent further damage to the spinal cord after an initial injury, Mr. Wright's systolic blood pressure should be maintained above 90 mm Hg, as per the guideline which is close to the normal MAP range and aims to prevent ischemia and hypoxia.
Step-by-step explanation:
To avoid further damage to the spinal cord after an initial injury, it is crucial to maintain proper hemodynamic status by keeping the systolic blood pressure above certain levels. According to the information given in Figure 20.10, the approximate value for maintaining proper circulation and avoiding ischemia is about 93.33 mm Hg, which falls within the normal Mean Arterial Pressure (MAP) range of 70-110 mm Hg. Although the MAP is a different measure than systolic blood pressure, we can infer from the provided context that the target systolic blood pressure to prevent hypoxia and further spinal cord injury should be at least 90 mm Hg but not higher than the typical systolic range.
Therefore, the correct answer for Mr. Wright to maintain systolic blood pressure and avoid further damage to the spinal cord after the initial injury is A) 90 mm Hg.The hemodynamic status of Mr. Wright is closely monitored to avoid further damage to the spinal cord after the initial spinal cord injury. To maintain adequate blood flow, systolic blood pressure needs to be maintained above a certain level. In this case, the recommended range to maintain systolic blood pressure is 90 mm Hg or higher.