The Multiple Organ Dysfunction Syndrome

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Recommended: Cardiogenic shock with multiple organ dysfunction

There is a variety of different types of shock and each type can be caused by many different things. “Shock is classified as cardiogenic (caused by heart failure); neurogenic or vasogenic (caused by alterations in vascular smooth muscle tone); anaphylactic (caused by hypersensitivity); septic (caused by infection); or hypovolemic (caused by insufficient intravascular fluid volume)” (Huether, McCance, 2010, pp.1696-1697). There is also traumatic shock which is similar to hypovolemic shock and septic shock. Each case of shock is important and needs to be monitored carefully. One type of shock to consider is neurogenic shock.
Neurogenic shock is often referred to as vasogenic shock. This type of shock generally occurs from an imbalance of stimulation of vascular smooth muscle. “Neurogenic shock can be caused by any factor that stimulates parasympathetic activity or inhibits sympathetic activity of vascular smooth muscle” (Huether, McCance, 2010, pp. 1702). One of the factors that can cause neurogenic shock is trauma to the spinal cord. For example, a man named John Jackson suffered a spinal cord injury after being involved in a motorcycle accident; he will likely suffer from neurogenic shock as well. While he is in neurogenic shock however, he has not lost any fluid from vasculature. This is possible because when the spinal cord is injured there can also be injury to the nerve that controls the blood vessels width (Shock, 2013). This leads to a drop in blood pressure because the blood vessels relax and expand, thus leading to a lack of loss of fluid from vasculature. Even though the individual is in neurogenic shock, the type of injury that is causing the shock can alter what the patient is experiencing. A patient that has a diff...

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...6, January). From Inflammation to MODS: Stopping Sepsis in its Tracks. In Lippincott's Nursing Center. Retrieved December 11, 2013, from http://www.nursingcenter.com/lnc/static?pageid=733523
Huether, S. E., & McCance, K. L. (2010). Pathophysiology- The Biologic Basis for Disease in Adults and Children (sixth ed., pp. 1696-1727). Maryland Heights, MO: Mosby Elsevier.
Marshall, J. C. (2001). The Multiple Organ Dysfunction Syndrome. In NCBI. Retrieved December 11, 2013, from http://www.ncbi.nlm.nih.gov/books/NBK6868/
Sheridan, R. L. (2013, June 10). Initial Evaluation and Management of the Burn Patient. In Medscape. Retrieved December 11, 2013, from http://emedicine.medscape.com/article/435402-overview#showall
Shock. (2013, February). In Better Health Channel. Retrieved December 11, 2013, from http://www.betterhealth.vic.gov.au/bhcv2/bhcarticles.nsf/pages/Shock

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