Uploaded byMr. Mata Deen
Neurogenic shock
Neurogenic shock is a life-threatening condition caused by damage to the spinal cord or central nervous system, which disrupts blood circulation. Common causes include motor vehicle accidents, falls, violence, and sports injuries. Symptoms include extreme back pain, paralysis, numbness, difficulty breathing, and abnormal heart rate or blood pressure. Treatment focuses on stabilizing the spine, preventing complications, and managing symptoms through medications, immobilization, or surgery. Long term care aims to support mobility and independence through assistive devices and rehabilitation.
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Neurogenic shock
- 1.
- 2. Neurogenic shock isa life-threatening condition caused by irregular blood circulation in the body. Trauma or injury to the spine can cause this disruption. It can occur after damage to the central nervous system such as spinal cord injury.
- 3. National Spinal CordInjury Database: MVA 44.5% Falls 18.1% Violence 16.6% Sports 12.7% 55% cases occur in 16 – 30yrs of age.
- 5. Motor vehicleaccidents Falls Acts of violence Sports and injuries Alcohol Diseases
- 8. Emergency signs andsymptoms Extreme back pain Weakness, incoordination or paralysis in any part of your body Numbness, tingling or loss of sensation in your hands, fingers, feet or toes Loss of bladder or bowel control Difficulty with balance and walking Impaired breathing after injury
- 9. Dizziness Nausea Vomiting Blank stares Fainting Increased sweating Anxiety Pale skin
- 10. Difficulty breathing Chest pain Weakness from irregular blood circulation Bradycardia, or a slower heart rhythm Faint pulse Cyanosis, or discolored lips and fingers Hypothermia, or decreased body temperature
- 11. Physical examination History collection
- 15. Bladder controland Bowel control Skin sensation Circulatory control Respiratory system Muscle tone Sexual health Pain Depression
- 16. Following this advicemay reduce the risk of a spinal cord injury: Drive safely Check water depth before diving Prevent falls Take precautions when playing sports Don't drink and drive
- 17. Early (acute) stagesof treatment: In the emergency room, focus on: Maintaining the ability to breathe Preventing shock Immobilizing neck to prevent further spinal cord damage Avoiding possible complications, such as stool or urine retention, respiratory or cardiovascular difficulty, and formation of deep vein blood clots in the extremities
- 18. Medications. Intravenous(IV) methylprednisolone (A-Methapred, Solu-Medrol) has been used as a treatment option for an acute spinal cord injury Immobilization. To need traction to stabilize the spine, to bring the spine into proper alignment or both.
- 19. Surgery. surgery isnecessary to remove fragments of bones, foreign objects, herniated disks or fractured vertebrae that appear to be compressing the spine. Surgery may also be needed to stabilize the spine to prevent future pain or deformity.
- 20. Experimental treatments. Scientistsare trying to figure out ways to stop cell death, control inflammation and promote nerve regeneration. For example, doctors may lower the body temperature significantly — a condition known as hypothermia — for 24 to 48 hours to help prevent damaging inflammation.
- 21. Modern wheelchairs Computer adaptations Electronic aids to daily living Electrical stimulation devices Robotic gait training
- 22. ASSESSMENT: In assessing thetrauma patient: Be alert for changes in blood pressure and heart rate and monitor oxygenation. Assess hemodynamic and neurologic parameters, including motor, sensation and reflexes.
- 23. Monitor intakeand output. Assess skin temperature and integrity. Assess for coping skills and watch for signs of anxiety and depression. Monitor results of X-rays, CT scans, MRIs and any lab studies, cultures, activated partial thromboplastin time, white blood cell count, and differentiated blood count. Report any abnormal results to the physician.
- 24. https://www.healthline.com/health/neurogenic- shock#causes https://www.mayoclinic.org/diseases- conditions/spinal-cord-injury/diagnosis- treatment/drc-20377895 http://online.liebertpub.com/doi/abs/10.1089/neu.201 6.4947 https://www.ncbi.nlm.nih.gov/books/NBK459361/ https://en.wikipedia.org/wiki/Neurogenic_shock https://www.sciencedirect.com/topics/neuroscience/n eurogenic-shock