NRSG 201 Simulation Prep
SCI with Neurogenic Shock
Logan Beard
1. What are signs and symptoms of Neurogenic Shock?
The signs and symptoms of neurogenic shock are hypotension, bradycardia,
dry-warm skin, loss of temperature control, flaccid paralysis below the level
of the lesion, loss of cutaneous and deep tendon reflexes, loss of sensation,
loss of urinary bladder tone, paralytic ileus, decreased cardiac output and
tissue perfusion, and venous pooling.
2. What do you do for a patient that has a suspected spinal cord
injury?
Support the patients head and neck to provide stabilization as well as
prevent any further cord damage. Keep the patient as still as possible. Place
the patient on a backboard with a c-collar. Monitor the patient’s breathing
patterns and SpO2. Lastly, assess vitals, neurologic status, bowel and
bladder control, and pain level.
3. What are some lab and diagnostic testing for a patient with a
spinal cord injury?
Some diagnostic testing that can be assessed on a patient with a spinal cord
injury is a CT scan, MRI, x-rays, or a myelogram. A detailed neurological
assessment would be performed. ABGs are drawn to identify any respiratory
or metabolic impairments.
4. What are some pharmaceuticals for a patient with neurogenic
shock?
Some pharmaceutics for a patient with neurogenic shock are Heparin to
prevent DVT, vasopressin to increase mean systemic pressure and cardiac
pressure, analgesics such as morphine for pain, gamma-aminobutyric acid
analogues, such as pregabalin for neuropathic pain, atropine for
bradycardia, IV fluid replacement, and oxygen therapy.
This study source was downloaded by 100000901307859 from CourseHero.com on 10-13-2025 00:25:38 GMT -05:00
https://www.coursehero.com/file/252058687/Simulation-Prep-Neurogenic-Shockdocx/
SCI with Neurogenic Shock
Logan Beard
1. What are signs and symptoms of Neurogenic Shock?
The signs and symptoms of neurogenic shock are hypotension, bradycardia,
dry-warm skin, loss of temperature control, flaccid paralysis below the level
of the lesion, loss of cutaneous and deep tendon reflexes, loss of sensation,
loss of urinary bladder tone, paralytic ileus, decreased cardiac output and
tissue perfusion, and venous pooling.
2. What do you do for a patient that has a suspected spinal cord
injury?
Support the patients head and neck to provide stabilization as well as
prevent any further cord damage. Keep the patient as still as possible. Place
the patient on a backboard with a c-collar. Monitor the patient’s breathing
patterns and SpO2. Lastly, assess vitals, neurologic status, bowel and
bladder control, and pain level.
3. What are some lab and diagnostic testing for a patient with a
spinal cord injury?
Some diagnostic testing that can be assessed on a patient with a spinal cord
injury is a CT scan, MRI, x-rays, or a myelogram. A detailed neurological
assessment would be performed. ABGs are drawn to identify any respiratory
or metabolic impairments.
4. What are some pharmaceuticals for a patient with neurogenic
shock?
Some pharmaceutics for a patient with neurogenic shock are Heparin to
prevent DVT, vasopressin to increase mean systemic pressure and cardiac
pressure, analgesics such as morphine for pain, gamma-aminobutyric acid
analogues, such as pregabalin for neuropathic pain, atropine for
bradycardia, IV fluid replacement, and oxygen therapy.
This study source was downloaded by 100000901307859 from CourseHero.com on 10-13-2025 00:25:38 GMT -05:00
https://www.coursehero.com/file/252058687/Simulation-Prep-Neurogenic-Shockdocx/
