neuro/defib Flashcards
what is neurogenic shock
- usually results from a spinal cord injury.
- the loss of normal SNS tone and vasodilation
-muscles in the walls of the blood vessels are cut off from nerve impulses that usually cause them to contract
C1-C4
breathing
head and neck movement (C2)
C4-C6
heart rate
shoulder movement (C5)
C6-C7
wrist and elbow movement
C7-T1
hand and finger movement
T1-T12
sympathetic tone (incl temp regulation)
trunk stability (T2-T12)
T11-L2
ejaculation
hip motion (L2)
L3
knee extension
L4-S1
foot motion
knee flexion (L5)
S2-S5
penile erection (S2-S4)
bowel and bladder activity (S2-S3)
about the spine
-33 vertebrae
- stabilized by ligaments and muscles
- allow for fluid movement and erect stature
spinal locations
cervical, thoracic, lumbar, sacral, coccyx
vertebrae components
vertebral body, lamina, pedicles, spinous processes
CSF
bathes the brain and spinal cord, provides cushion for the central nervous system
ascending tract
carry information to the brain
descending tract
carry information away from the brain
the spinal cord
extends from the base of the skull to L2
- transmits nerve impulses between the brain and the rest of the body
posterior (dorsal) horn
sensory input
anterior (ventral) horn
motor input
autonomic nervous system Is divided into what nervous systems
sympathetic and parasympathetic
SNS
- controlled by the hypothalamus in the brain
- governs our fight or flight response
- responsible for: sweating, pupil dilation, temp regulation, shunting of blood from the periphery to the core
disruption of SNS communication can cause
- disruption of homeostasis, leaving the body unable to cope with environmental changes
- autonomic dysreflexia dues to sympathetic overdrive
- cause life threatening hypertension
6 B’s that are the common causes of autonomic dysreflexia
bladder, bowel, back passage, boils, bones, babies
PNS
- carries signals from the brainstem and upper spinal cord to the organs and skin above the waist
- the vagus nerve travels from outside the medulla to the heart via the carotid arteries, thus vagus tone remain intact following a spinal injury