Health Centers
if not loaded., try Site map to view all
bookmark | print this page | mail to friend | site map | help

Blood Pressure



Neurogenic Shock


Neurogenic shock results from trauma to the spinal cord.
Muscle flaccidity and loss of reflexes below the injury (spinal shock) is followed by mild hypotension and bradycardia (neurogenic shock) from damage to descending sympathetic pathways in the cord.

Treatment consists of :

1. The ABCs of resuscitation;
2. Proper spinal immobilization;
3. Intravenous normal saline to maintain a systolic pressure above 70 mmHg;
4. If unable to maintain the blood pressure, dopamine 5 ug/kg/min is added;
5. Bradycardia may be treated with atropine 1 mg IV every 5 minutes to a total dose of 3 mg or a pacemaker if needed;
6. Methylprednisolone 30 mg/kg over 15 min is administered, followed by an infusion of 5.4 mg/kg per hour (controversial) and
7. The patient is transferred to an appropriate spinal-cord facility.


Your feedback?


Rate this page?
Good Average Poor

Rating accepted

Thanks for your note! Suggestion if any, will be taken up by the editor squad on a prority. We appreciate your gesture.
Hecapedia squad
Improve hecapedia - Join the squad

Nothing on this web site, in any way to be viewed as medical advice. All contents should be viewed as general information only.
All health care decisions should only be made with consultation from your physician.

About us | Link to us | Contact us | Associates | Media Center | Business services | Feedback | Report Bugs | Sitemap | Help
privacy policy | disclaimer | terms and conditions | accessibility | anti-spam policy
© 2006 hecapedia