Neurogenic Shock

Question 1

when does neurogenic shock occur?

Answer 1

within 24 hours of a spinal cord injury

Question 2

what is neurogenic shock?

Answer 2

total loss of communication within the SNS–> vasodilation

Question 3

what are clinical manifestations of neurogenic shock?

Answer 3

EVERYTHING DECREASES

1. BP, HR, CO, SVR, and CVP all decrease
2. dependent edema
3. loss of temperature regulation (poikilothermia)

Question 4

what are priority interventions for a patient with neurogenic shock?

Answer 4

1. lay flat for the hypotension

2. prevent DVT because the blood pools in the lower extremities which causes that dependent edema

Question 5

what medications can be given to help treat neurogenic shock?

Answer 5

IV fluids can be given and then vasopressors/atropine to speed up the heart

Question 6

what complication can occur from neurogenic shock?

Answer 6

bad orthostatic hypotension can occur so transfer in stages, raise HOB but be ready to lower if patient gets dizzy

Question 7

how can a nurse transfer into reclining wheelchair?

Answer 7

be ready to lock and lean the wheelchair back to fully reclining position if patient reports dizziness, DO NOT put the patient back in bed