Neurogenic shock

• Blood is sitting in vessels and pooling into extremities-> dont go back up to the heart
• 2 main causes are

  • SCI
  • spinal anesthesia
• Caused by vasodilation from loss of sympathetic tone
• Manifests warm, moist skin, HPN with bradycardia
• SNS control BP, HR, and vascular tone.

  • In neurogenic shock, SNS doesnt respond to body stressors
• Nursing Interventions

  • HOB at least 30 degrees
  • elevate head, so it anesthetic agent dont do up to SC
  • pt at high risk for DVT because of the pooling and vasodilation