In the emergency department, the nurse is caring for a client who suffered a spinal cord injury to C7 during a rugby accident. The nurse suspects that the client is going into neurogenic shock. Which of the following findings would the nurse expect to find? Cassidy RhodyID: 112703Question 88Select all that apply:Temperature of 39.2 degrees CelsiusWarm, flushed skinFlaccid paralysis below the level of the injuryBlood pressure of 75/40Heart rate of 120 bpm
Question
In the emergency department, the nurse is caring for a client who suffered a spinal cord injury to C7 during a rugby accident. The nurse suspects that the client is going into neurogenic shock. Which of the following findings would the nurse expect to find? Cassidy RhodyID: 112703Question 88Select all that apply:Temperature of 39.2 degrees CelsiusWarm, flushed skinFlaccid paralysis below the level of the injuryBlood pressure of 75/40Heart rate of 120 bpm
Solution
Neurogenic shock is a type of shock that occurs when there is a loss of balance in the autonomic nervous system due to a spinal cord injury. This can lead to a decrease in blood pressure and heart rate. The symptoms of neurogenic shock can vary, but the nurse should expect to find the following in a patient with a C7 spinal cord injury:
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Warm, flushed skin: This is due to the loss of sympathetic tone which causes blood vessels to dilate, leading to warm and flushed skin.
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Flaccid paralysis below the level of the injury: This is a common symptom of spinal cord injuries. The patient may lose all motor functions below the level of the injury.
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Blood pressure of 75/40: Neurogenic shock can cause a significant drop in blood pressure. This is due to the loss of sympathetic activity which normally helps to maintain blood pressure.
However, a heart rate of 120 bpm is not typically associated with neurogenic shock. In fact, bradycardia (a slower heart rate) is more common. This is because the loss of sympathetic activity can also affect the heart rate.
A temperature of 39.2 degrees Celsius is also not typically associated with neurogenic shock. This could be a sign of another issue such as an infection.
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