Neurogenic shock

Question 1

Define neurogenic shock

Answer 1

loss of sympathetic tone secondary to spinal cord damage leading to : hypotension, bradycardia , warm peripheries ,poikilothermia

Question 2

MX priorities of neurogenic shock

Answer 2

1- IVVF crystalloid volume replacement
2- IV inotropic support : adrenaline infusion
3- Full spinal precautions
4- respiratory support
5- Specialist referral to orthopaedic/spinal team
6-supportive : normothermia ,normoglycemia ,feeding

Question 3

Define spinal shock

Answer 3

transient loss of spinal cord reflexes at and below the level of injury leading to flaccid paralysis and areflexia .