Neurogenic shock nursing NCLEX review of the treatment, nursing interventions, pathophysiology, and signs and symptoms.
Neurogenic shock is a form of distributive shock that leads to massive vasodilation due to the inability of the sympathetic nervous system to regulate the diameter of the vessels. Hence, the sympathetic nervous system cannot control vasomotor tone.
In neurogenic shock, the sympathetic nervous system has lost the ability to stimulate nerve impulses. Neurogenic shock can occur in patients who have experienced a spinal cord injury at the cervical or upper thoracic regions (above T6), received spinal anesthesia, or taken drugs that affect the autonomic or sympathetic nervous system.
Signs and symptoms of neurogenic shock include hypotension, bradycardia, hypothermia, warm/dry extremities but a cold body
Neurogenic shock nursing interventions and treatment includes: immobilizing in spine, managing airways and circulation, administering IV fluids or vasopressors, prevent DVTs (deep vein thrombosis), Foley catheter placement, rewarming devices for hypothermia, administrating atropine for bradycardia etc.
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