Created by Ian Mannarino.
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In lecture today, my professor cited PALS and said that in all the shocks [obstructive, cariogenic, hypovolemic, & distributive (anaphylactic, septic, & neurogenic)] the BP is not like adults meaning that the pediatric patient can compensate (due to a healthier heart)and maintain a normal BP while in the compensatory phase of shock, then switch into a low BP once not being able to compensate anymore. All that makes sense, except in neurogenic shock, because the SNS compensation ability is enabled, so how can there ever be a normal BP in neurogenic shock for a pediatric patient? I asked what makes a pediatric patient with a SCI experiencing neurogenic shock different than an adult patient in regards to BP, and I was told that the child can compensate better than an adult. After asking again how that can be without a functioning SNS I was then told it depends on they type of SCI and if the child was decapitated.
So, I am at a loss, please help!
s/s for neurogenic shock must be observe all the time, check vital signs, prn medications must be available at bedside, physicians tel. number/mobile number must be visible (on the wall ) for emergency tel. orders, 02 at bedside, maintain a quite environment, npo, emitional support and other related nursing intervention
The Heart rate is controlled by the nervous system which controls the firing rate of the SA node. From my previous readings I knew that the firing rate of the SA node is 120 bpm but what makes the heart rate less than this number is the fact that the SA node is under the control of the vagus nerve so if we lose nervous control of the heart the heart rate should increase not decrease. Am I wrong? Please explain this point and thank you very much for your great videos
Thank you for videos!
I've read in one book that in the neurogenic shock there are at first bradycardia and big CO, but after some time there is a tachycardia and small CO... I'm confused - can you explain me these things? Are they true?
+tshepo dibotelo yeah it is used.neurogenic shock leads to depression of sympathetic system which leads to loss of SVR. Sympathomimetic drugs includes epinephrine , norepinephrine etc which increases vascular tone and promote better perfusion .
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They aim to correct chemical imbalances of neurotransmitters in the brain that are believed to be responsible for changes in mood and behavior.
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These are the most commonly prescribed type of antidepressant.
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