Treatment
What is the initial management of high space shock?
IV fluid boluses
What causes neurogenic shock?
Spinal trauma
Will the patient present with hypotension or hypertension?
Hypotension
High space shock is also known by what other three names?
1. Relative hypovolemia
2. Vasodilatory shock
3. Distributive shock
What are the four shock states?
1. Low volume shock (hypovolemia)
2. Distributive shock (relative hypovolemia)
3. Mechanical shock
4. Cardiogenic
What can happen if paramedics aren't mindful of how fast fluid is administered?
It can increase internal bleeding
What causes sepsis syndrome?
An untreated infection
Presentation of neurogenic shock differers from hemorrhagic shock due to the none release of what hormone?
Catecholamine
Which hormones released by the sympathetic nervous system aid in vasoconstriction?
Epinephrine and norepinephrine
If the arterials were able to fully dilate, how much blood could the vascular system hold?
25 Liters
What is a key component at identifying the cause of relative hypovolemic shock?
Good history taking
What causes the vessels dilate in anaphylaxis shock?
The skin will usual present as what in high space shock?
Pink, dry and warm
You may only see this chest movement in a patient with neurogenic shock?
Diaphragmatic movement
What of the patients can useful to determine the success or failure of rescucitation in the absense of a head injury?
A patients level of consciousness
What is considered a normal saline bolus in treatment of high space shock?
500 mL - 1,000 mL
What drug overdoes cause high space shock?
1. Calcium channel blockers
2. Beta blockers
3. Nitroglycerin
What sign might you discover when checking extremities that may help with the diagnosis of neurogenic shock?
Absent motor and sensory responses
What is a sign of neurogenic shock only found in biological males?
Priapism
At which vertebra in the spinal cord does neurogenic shock occur?
6th thoracic vertebra or above
What is considered a normal saline bolus for pediatric patients?
20 mL/kg
What is vasovagal syncope?
Your body's ability to regulate blood pressure doesn't work as it should, and cause you to pass out.
What is the key difference found in nitroglycerine drug overdose causing relative hypovolemia as opposed to neurogenic shock?
Tachycardia
Where is epinephrine produced in the body?
Adrenal medula
What is another name for the sympathetic nervous system?
Thoracolumbar autonomic nervous system