Neurogenic Shock - Trauma

Question 1

What is an appropriate fluid bolus for a hypotensive patient in neurogenic shock?

Answer 1

20-40 mL/kg of NS or Ringers Lactate (target MAP of 80)

Question 2

In neurogenic shock low doses of levophed will likely result in significant reflex bradycardia (due to massive vasoconstriction), which three medication should be considered in this case?

Answer 2

Atropine, dopamine or epinephrine