Neurogenic Shock

Neurogenic Shock - It is caused by damage to the nervous system.

Results from loss of sympathetic tone resulting in vasodilation of peripheral vessels. Can be caused by spinal cord injury, severe pain, neurologic damage, extreme psychological stress or adverse effects of spinal anesthesia.

Signs and Symptoms:

  1. Hypotension (low blood pressure)
  2. Bradycardia (low heart rate)
  3. Warm, dry skin
  4. Initial alertness if not unconscious due to head injury
  5. Coolness of extremities and diminishing peripheral pulses

Radiographer's Response:

  1. Summon emergency assistance
  2. Notify physician in charge
  3. Keep patient supine; may elevate patient's legs with physician's OK
  4. Have crash cart brought to patient's side
  5. If spinal cord injury is possible, do not move patient
  6. Stay with patient and offer support
  7. Monitor vitals signs q 5 min
  8. Prepare to assist with O2, IV fluids