Explain what category of shock the case represents using the patient data.? 2. Does the patient need IV fluid? Explain.

1-Explain what category of shock the case represents using the patient data.? 2. Does the patient need IV fluid? Explain. ((((So, these questions answered briefly by my tutor as the following and you can build the answers on them)))) 1-This patient has a Neurogenic shock which is one of Distributive shock types. We need to identify (the distributive shock)? why did we say this is a distributive shock? (from this case information). Then, we need to say this patient has Neurogenic shock (what are the signs of neurogenic shock?), for this patient it is due to T2 fracture, spinal cord injury above T4, Hypotension, Bradycardia, Hypothermia and delayed in fingers capillary refill as >2 sec (Discordant capillary refill between the lower and upper limps). -CO is typically high, because of the hyperdynamic state caused by the decrease in SVR. ? 2- Yes, fluid to be given cautiously: as the patient has a high cardiac output (CO), hypotensive and CVP<8mmHg. CVP less than 8 and high lactate due to hypovolemia leading to metabolic-acidosis (lactic acidosis). Also, blood pressure is too low, Vasopressor (such as dopamine) should be used to helps to tighten blood vessels and raise pressure (what medication can we give for that??). *(IV fluids should be monitored closely as a fluid overload may cause exacerbation of brain and spinal cord swelling) -Also, urine output should be monitored -use worm iv fluid to regulate the body temperature. -This patient having a high Cardiac output (CO) and very low systemic vascular resistance (SVR). LOW SaO2 as 88%?? What should we do? Low blood glucose levels as while the normal level are between

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