Class 11 - NEUROGENIC SHOCK

Question 1

_______ ______ refers to _________________ and _________________ caused by peripheral vasodilation due to interruption of the descending sympathetic tracts after severe CNS damage (brain or cervical or high thoracic (T6 or above)

Answer 1

Neurogenic shock
hypotension and bradycardia

Question 2

T/F The peripheral nervous system tends to react to major events (e.g., head trauma, stroke) by going into a period of low-level function.

Answer 2

FALSE THE CENTRAL NERVOUS SYSTEM
tends to react to major events (e.g., head trauma, stroke) by going into a period of low-level function.

Question 3

The duration of neurogenic shock can vary greatly (up to four or five weeks) but treatment in the first 7 days is focused on keeping the mean _____ pressure high enough to ensure the spinal cord is sufficiently _____.

Answer 3

arterial
profused

Question 4

T/F The value of massage therapy is questionable during this stage, although providing suitably shortened, adapted light massage treatments is not completely out of the question. Physician ______ must be obtained.

Answer 4

TRUE
approval

Question 5

The massage therapist needs to carefully consider the following: Name 5 key points

Answer 5

1. The stability of the CNS damage site (especially that any hemorrhage has stopped)
2. The stability of cardiovascular and respiratory functions
3. Whether there is a good reason to massage at this early stage, either physical or emotional for the patient’s benefit
4. The impact of medications
5. Consent issues

Question 6

Generally speaking, the massage therapist will probably elect to_____ until after the neurogenic shock phase is _____, but with good indications and physician agreement, _____ massage my sometimes be beneficial.

Answer 6

wait
over
modified