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  • Spinal Vs Neuro Shock Slides

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    Lee Chee Seng
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    Spinal vs Neuro Shock Slides

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    © All Rights Reserved
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    3 views1 page

    Spinal Vs Neuro Shock Slides

    Uploaded by

    Lee Chee Seng
    fvdxgx

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    Spinal Shock vs Neurogenic Shock

    Spinal Shock Neurogenic Shock*


    *Due to acute spinal cord *Hemodynamic phenomenon-
    * Loss of vasomotor tone & Loss of sympathetic
    injury nervous system tone > inpaired cellular
    *Absence all voluntary metabolism

    and reflex neurologic *Critical features-


    Hypotension (due to massive vasodilation
    activity below level of Bradycardia- due to unopposed paraynmpathetic
    injury stimulation
    Decreased reflexes Poikilothermia; *Unable to regulate temperature-
    Loss of sensation Occurs
    Within 30 min cord injury level T 5 or above; last up to 6
    Flaccid paralysis below weeks; also due to effect some drugs that effect
    injury vasomotor center of medulla as opioids, benzodiazedines
    Lasts days to months Management (*Determine underlying cause)

    (Transient) Airway support
    Fluids as needed- Typically 0.9 NS , rate depends upon
    *Spinal shock & need
    Atropine for bradycardia
    neurogenic shock can in Vasopressors as phenylelphrine (Neo-synephrine) for
    same patient-BUT not BP support
    same disorder (some sources
    may group both together)

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