Spinal Shock vs Neurogenic Shock Flashcards

(41 cards)

1
Q
Manifests with:
1.decreased oxygen saturation, 
2.symptomatic bradycardia, 
3.decreased level of consciousness, 
4. decreased urine output,
and 
5.hypotension.
A

Neurogenic Shock

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2
Q

Neurogenic shock is:
_________ failure
caused by paralysis of the nerves
that control the _____ of the blood vessels, leading to widespread ________; seen in patients with spinal cord injuries.

A

circulatory

size

vasodilation

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3
Q

This is a Medical emergency;

It is a complete loss of all reflex, motor, sensory and autonomic activity below the lesion;

A

Spinal Shock

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4
Q

temporary concussion like insult to the spinal cord that causes effect below the level of the injury

A

Spinal Shock

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5
Q

Maldistribution of blood = ________ shock

A

neurogenic

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6
Q

Low cardiac output + hypotension would be found in what type of shock? (inappropriate bradycardia, should be tachy in setting of hypotension)

A

neurogenic

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7
Q

Located in the ventral (anterior) horn of the spinal cord or brain stem = ________ motor neuron

A

lower

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8
Q

Hyporeflexia, decreased muscle tone, and muscle atrophy = _______ motor neuron

A

lower motor neuron

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9
Q

Where is hyperflexion usually seen in the vertebrae

A

c5 and c 6

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10
Q

What kind of collision would cause hyperflexion

A

head on collision

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11
Q

What kind of collision would cause hyperextension

A

getting rear-ended

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12
Q

Paraplegia: Paralysis of both legs

Injury to thoracolumbar region ___-___

A

T2 - L1

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13
Q
  • May have full use of arms
  • May require wheelchair or have some limited use lower extremities
  • May have some respiratory compromise (varying degrees of intercostals and abdominal muscle paralysis.
A

Paraplegia

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14
Q

Cord injury which results in lower motor neuron deficit and loss of pain and temperature, with sparing of posterior column functions (proprioception, vibration)

A

Central cord syndrome

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15
Q

Common cause of central cord syndrome

A

hyperextension

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16
Q

Most common form of cervical spinal cord injury. It is characterized by loss of motion and sensation in arms and hands.

A

central cord syndrome

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17
Q

Loss of motor function, proprioception, and vibration sense on the side of injury. Loss of pain and temperature on the opposite side of injury.

A

brown sequard syndrome

18
Q

Awareness of one’s body position

A

proprioreception

19
Q

Mixed loss of voluntary motor activity and sensation below level of injury

A

incomplete injury

20
Q

characterized by loss of motor function below the level of injury, loss of sensations carried by the anterior columns of the spinal cord (pain and temperature), and preservation of sensations carried by the posterior columns (fine touch, vibration and proprioception).

A

Anterior Cord Syndrome

21
Q

caused by compression of posterior spinal after and is characterized by loss of proprioception, 2point discrimination, and stereognosis. motor function is preserved

A

Posterior Cord Syndrome

22
Q

Ability to determine meaning or identity of an object by touch

A

stereogenesis

23
Q

What can cause brown sequard

A

stabbing with ice pick of course

24
Q

Loss of position sense, vibration, and pressure (May not have ability to walk) -

Motor function, pain and temperature sensation intact –KNOW

A

Posterior cord syndrome

25
Loss motor function below site of injury | Loss pain, temperature,& crude sensation
Anterior Cord Syndrome
26
Motor weakness Upper extremities weaker than lower Sensory function varies Varying degrees bowel and bladder dysfunction
Central Cord Syndrome
27
-Transection/Damage of one side of spinal cord
Brown Sequard
28
-Transection/Damage of one side of spinal cord
Brown Sequard
29
IF injury above ___ need mechanical ventilation
C3
30
Initial period of flaccid paralysis and loss of sensation and reflexes
spinal shock
31
Traction: Inspect skin under jacket for ______ Keep ______ _____ taped to jacket
breakdown | allen wrench
32
Loss of vasomotor tone & sympathetic innervation of heart
neurogenic shock
33
In neurogenic shock what is the skin like?
Warm and Dry
34
In neurogenic shock what is the heart rate like?
Brady
35
When a patient has neurogenic shock what is going on with their fluid volume?
Hypovolemia
36
What is done to manage hypovolemia in neurogenic shock?
Slowly and carefully replace fluids
37
In neurogenic shock what is going on with the patients vessels?
They are vasoconstricted
38
What kind of drug to a neurogenic shock patient to correct the blood vessels?
Vassopressor
39
What is a temperature goal for a neurogenic shock patient?
Maintain normothermia
40
Why is head of bed position in neurogenic shock?
To avoid orthostasis (keep HOB 10 degrees)
41
What is going on with a neurogenic shock patients bladder?
Urinary Retention