Neurogenic shock | Circulatory System and Disease | NCLEX-RN | Khan Academy

  • Published on Nov 23, 2014
  • Created by Ian Mannarino.
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Comments • 49

  • UItraKittenBoss
    UItraKittenBoss 2 years ago +13

    You're videos are absolutely phenomenal! I cannot stress this enough. Thank you so much for the work you are doing.

  • Haley Isabella
    Haley Isabella 4 years ago +7

    This is great. Really helping me study for my RN Exam tomorrow. Khan Academy always to the rescue 🙏🏼🙏🏼

  • Patrycja G.
    Patrycja G. 6 years ago

    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?

  • Alexandra Costa
    Alexandra Costa 6 years ago +1

    Totally awesome explanation ! ! Thank you! :)

  • Breanna Adams
    Breanna Adams 4 years ago

    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!

  • Blessed Daily
    Blessed Daily Month ago

    This helped me to understand and separate neurogenic shock from the other shocks I'm reviewing

  • Savannah Jackson
    Savannah Jackson 3 months ago

    That was so helpful. Thank you so much!

  • Mikez
    Mikez 4 years ago +7

    Thank you so much for this video, really fills in the gaps on my terrible textbook explanation

  • Gabbie Innocent
    Gabbie Innocent 3 years ago +1

    Thank you so much! the patho really helped break it down for me!

  • Emili Tajmer
    Emili Tajmer 2 years ago

    great video, made it very easy to understand neurogenic shock

  • tere williams
    tere williams 5 years ago

    Many are left with no info on this and the sequence before and after. Excellence info and much thanks.

  • Nadira.US.A
    Nadira.US.A Year ago

    Amazing explanation!

  • Carlos Ixmay
    Carlos Ixmay 5 years ago

    You guys are awesome! Thank you!

  • Arlyn Renong
    Arlyn Renong 4 years ago +4

    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

  • Medicine Like a piece of cake

    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

    • Mikez
      Mikez 4 years ago

      I always thought the SA node worked independent of the nervous system, and that's why it continues to pump outside the body. A little confused by how susceptible the heart rate is to neurogenic shock

    • Mudassar Aziz
      Mudassar Aziz 4 years ago +2

      Ghada Karim spinal shock is mainly due loss of sympathetic tone that is thoracolumbar outflow but meantime when sympathetic is blocked parasympathetic becomes unopposed so Brady will b there

  • fancynfamily
    fancynfamily 7 years ago

    Great explanation!

  • Jovani Henriquez
    Jovani Henriquez 5 years ago

    Great explanation!

  • Mikhaeel
    Mikhaeel 3 years ago

    Great explanation !

  • Fereda Frazer
    Fereda Frazer 6 years ago

    You guys are life savers!!!!!!!

  • Ingrid H
    Ingrid H 3 years ago

    Great video, thanks!

  • Darthreloy
    Darthreloy 7 years ago

    Thank you! that was great!

  • Maricela Hernandez

    You're Awesome! Thank you!

  • tshepo dibotelo
    tshepo dibotelo 6 years ago +3

    I wonder if adrenalin (epinephrin) could be used as a treatment regime for neurogenic shock

    • Pritam Panigrahi
      Pritam Panigrahi 6 years ago +6

      +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 .

  • anna jay
    anna jay 6 months ago

    Great video. Can someone explain why the body would respond to atropine but not the sympathetic nervous system? I am a little confused, if the nervous system is shut down as you said, then why would it respond to atropine? Is it just because atropine blocks the PSN?

  • Ali Bassim
    Ali Bassim 3 years ago

    Fluid therapy is used cautiously because risk of pulmonary edema

  • Mursal R.
    Mursal R. 2 years ago

    Presentation in 5 min and now I'm more confident lol

  • OhNo Antonio
    OhNo Antonio 6 years ago

    Please, somebody, what do you do after a neurogenic shock?

  • Jaclyn Scott
    Jaclyn Scott 5 years ago +1

    very clear

  • Germy E
    Germy E 6 years ago

    Thank you :)

  • Muhammad Mudassar
    Muhammad Mudassar 4 years ago

    good work

  • positive vibes
    positive vibes 3 years ago +2

    U r giving IV fluids but heart is not working efficiently, won't it lead to edema?

    • Clone Commander Ghost
      Clone Commander Ghost Year ago

      Yes that's true but in the video he does state treating with pressors to treat hypotension from the shock, thus making it safe to administer IV fluids without risking edema.

  • Klaudia S
    Klaudia S Year ago

    Thank you in 2020, too 😊

  • Maria Ingraham
    Maria Ingraham 7 years ago

    Thank you!

  • positive vibes
    positive vibes 3 years ago

    The weak pulse that u notice in shock is due to low stroke volume and low blood volume?

    • K1LLERBEE11
      K1LLERBEE11 Year ago

      no sympathetic input from the SNS

  • Michael Hart
    Michael Hart Year ago

    spinal injury above T6 (sympathetic chain T1-T4?)

  • shahad ibrahim
    shahad ibrahim Year ago

    khan i love you im gonna pray for you everyday

  • Sash Ahmed
    Sash Ahmed 5 years ago

    thanks alot you made my day and I do love this black background

  • community_ escape
    community_ escape 4 years ago

    Good to know

  • Zeid Morcos
    Zeid Morcos Year ago

    Bradycardia is a sign not a symptom

  • Zozo yousof
    Zozo yousof 4 years ago

    why it happen just T6 level or above ???

    • livvieflood
      livvieflood 2 years ago

      sympathetic outflow occurs from T1 to L2/3, this means that if there is a transection around this point the sympathetic innovation will be lost and wide spread vasodilation occurs

  • Misty Y
    Misty Y 3 years ago

    I like your voice :) lol good explanation thanks~

  • sally raef
    sally raef Year ago +1

    why am i watching this im in the 8th grade lol

  • Joey Miller
    Joey Miller Month ago

    And as it is appointed unto men once to die, but after this the judgment: (Hebrews 9:27)
    And the times of this ignorance God winked at; but now commandeth all men every where to repent: (Acts 17:30)
    For godly sorrow worketh repentance to salvation not to be repented of: but the sorrow of the world worketh death. (2 Corinthians 7:10)
    I tell you, Nay: but, except ye repent, ye shall all likewise perish. (Luke 13:5)
    For whosoever shall call upon the name of the Lord shall be saved. (Romans 10:13)