Neurogenic shock: Difference between revisions
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#Atropine if needed | #Atropine if needed | ||
#Keep warm | #Keep warm | ||
==Source == | ==Source == | ||
*Tintinalli | *Tintinalli | ||
==See Also== | ==See Also== | ||
Revision as of 23:52, 2 March 2012
Background
- Do not confuse with Spinal Shock
- Diagnosis of exclusion
- Never presume hypotension in trauma patient is due to neurogenic shock
- Injury to cervical or thoracic vertebrae causes peripheral sympathetic denervation
- Above T1: full
- T1-L3: Partial
- Below L4: none
- Lasts 1-3 wk
Diagnosis
- Hypotension (well tolerated)
- Bradycardia
- Peripherally vasodilated (warm extremities)
- May lead to hypothermia
Treatment
- Exclude other causes of shock
- IVF (MAP goal >90)
- Pressors if needed
- Atropine if needed
- Keep warm
Source
- Tintinalli