Which of the Following Describes Shock Following Spinal Injury

Loss of sympathetic tone occurs with injuries above T6 and results in decreased systemic vascular resistance. This dysregulation is due to a loss of sympathetic tone and an unopposed parasympathetic response.

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Its caused by biochemical processes that occur after an SCI and result in oxidation swelling and cell deaths.

. Which of the following describes shock following spinal injury. Which of the following is an expected symptom in spinal. Which best describes the nurses role in collaborating with other members of the team.

In acute spinal cats micturition reflexes were blocked however. Dilation of the blood vessels resulting in reduction of perfusion to tissues C. Spinal shock refers to the muscle weakness and reflex loss seen after spinal cord injury.

Hence the symptoms seen with neurogenic shock are aligned with sympathetic dysfunctions such as hypotension hypothermia and bradycardia. Dilation of the blood vessels resulting in reduction of perfusion to tissues D. Neurogenic shock is the result of autonomic dysregulation following spinal cord injury usually secondary to trauma.

Trauma or injury to the spine can cause this disruption. Inadequate circulation indicated by a rapid pulse and cool clammy skin B. A review of the trauma database showed the incidence of neurogenic shock in 193 of cervical spine injuries and 7 of thoracic spine injuries.

4 Sherrington further defined this as a transient extinction of reflexes below the level of spinal cord injury. Spinal shock is used to describe flaccid areflexic para- or quadriplegia with mute plantar responses from acute spinal cord injury. Neurogenic shock is extremely dangerous.

Which of the following describes shock following spinal injury. 5 Spinal shock is the sudden loss of reflexes and muscle tone below the level of injury that occurs after an acute onset of spinal cord injury. Flaccid muscles loss or reflex no initial muscle atrophy but some with disuse loss of sweating dec HR flushingpink skin low BP loss of bowel reflex loss of bladder refe.

Paralysis to only one side of the body that does not resolve B. Loss of reflexes Loss of motor control Low blood pressure if the SCI occurs at the T6 level or higher Decreased heart rate if the SCI occurs at the T6 level or higher Flaccid paralysis Urinary retention Fecal incontinence Spasms increased muscle tone Loss of sensation. However there is mounting experimental and clinical evidence for moderate spontaneous respiratory recovery or plasticity after some spinal cord injuries.

A nurse has gathered an interdisciplinary team to work together to coordinate care for a client with a spinal cord injury. Loss of reflexes below the lesion loss of muscle use below the injury loss of anal sphincter tone loss of bowel and bladder control as well as persistent penile erection priapism can be seen in spinal shock. However nerve excitability studies in combination with conventional nerve conduction and cl.

It also exhibits reduced muscle power in the level immediately below the injury followed by complete paralysis in more caudal myotomes. A complete cord injury ASIA grade A or spinal shock is characterized by a rostral zone of spared sensory levels reduced sensation in the next caudal level and no sensation in levels below. Paralysis of the respiratory muscles occurring with injury to the thoracic spine D.

All seen BELOW level of lesion. The spinal cord which is comprised of bundles of delicate nerves encased within a protective column of vertebrae serves as the communication superhighway for your brain to transmit signals to the rest of your body. Check for bladder distention 2.

Neurogenic shock is a life-threatening condition caused by irregular blood circulation in the body. The term spinal shock was first used by Hall in 1840. Which of the following describes shock following spinal injury.

Spinal shock is characterized by the temporary reduction or loss of reflexes following a spinal cord injury. In this situation it may mimic peripheral nervous system emergencies eg cauda equina syndrome or GuillainBarré syndrome. This report describes changes in micturition reflexes 2 h to 14 weeks following spinal cord transection at the lower thoracic level.

What are NINE characteristics of spinal shock. This shock can make the spinal cord appear completely functionless. Dilation of the blood vessels resulting in reduction of perfusion to tissues C.

Inadequate circulation indicated by a rapid pulse and cool clammy skin B. Spinal shock describes the complete loss of reflexes movement and sensation below the level of spinal cord injury. Micturition in cats and rats with an intact neuraxis is dependent upon a spinobulbospinal reflex activated by A delta bladder afferents.

Paralysis to only one side of the body that does not resolve C. Neurogenic shock is a type of distributive shock that describes the sudden loss of autonomic tone due to spinal cord injury often characterized by hypotension and relative bradycardia. Signs and symptoms of spinal shock include.

Raise the head of the bed 3. Swelling of the spinal cord restricts blood flow resulting in the loss of spinal reflexes below the level of injury. A client with a spinal cord injury suddenly experiences an episode of autonomic dysreflexia.

At present clinical assessment remains the mainstay to describe progression through spinal shock following traumatic spinal cord injury. The mechanisms underlying spinal shock have not been clearly defined. Neurogenic shock is a complication of spinal cord injury at or above the level of T6 and is manifest by a reduction in blood pressure and systemic vascular resistance caused by sympathetic denervation.

After checking the clients vital signs list in order of priority the nurses actions Number 1 being the first priority and number 5 being the last priority. The client has a spinal cord injury and is suffering from spinal shock. Paralysis of the respiratory muscles occurring with injury to the thoracic spine D.

Respiratory dysfunction is one of the most devastating consequences of cervical spinal cord injury SCI with impaired breathing being a leading cause of morbidity and mortality in this population. Whereas spinal shock can occur from damage to any region of the spinal cord neurogenic shock usually occurs with cervical and high thoracic ie above T6 vertebral levels.

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