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									<p>El <strong>shock neurogénico</strong> o choque neurogénico es una condición en la que no hay suficiente flujo sanguíneo en el cuerpo debido a la pérdida repentina de las señales del sistema nervioso simpático, encargado de mantener el tono muscular normal en las paredes de los vasos sanguíneos.</p><p>Cuando ocurre el <strong>shock</strong> neurogénico, los vasos sanguíneos se relajan y se dilatan, dando lugar a la acumulación de sangre en el sistema venoso y a una disminución general de la presión arterial.</p><script async src="https://pagead2.googlesyndication.com/pagead/js/adsbygoogle.js?client=ca-pub-4254951495333536" 
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</script><p>Es una afección potencialmente mortal que requiere atención médica inmediata para prevenir daños irreversibles en los tejidos o incluso la muerte del paciente. Hay varios tipos de <strong>shocks</strong>, sin embargo, el neurogénico es considerado como el más difícil de manejar debido al posible daño irreversible de los tejidos.</p><p>El <strong>shock</strong> neurogénico no debe ser confundido con el shock espinal, ya que el segundo tiene una duración que va desde un día a un par de días, y la ausencia del tono sensorial y motor es temporal también. El <strong>shock</strong> neurogénico, por el contrario, se prolonga durante varios días hasta algunas semanas y puede resultar en la pérdida del tono muscular.</p>								</div>
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					<h2 class="elementor-heading-title elementor-size-default">Principales signos y síntomas de shock</h2>				</div>
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									<p>Los dos síntomas principales que suelen surgir a consecuencia de un <strong>shock</strong> neurogénico son: </p><h3><strong>Disminución de la presión arterial</strong></h3><p>La hipotensión o la presión arterial baja como consecuencia de una reducción de la resistencia vascular sistémica traducida en la recogida de sangre dentro de las extremidades, lo que produce deficiencia en el tono simpático.</p><p>La lesión en la médula espinal resulta generalmente en la incapacidad de los vasos sanguíneos de contraerse, y como respuesta a la alteración del sistema nervioso autónomo, hay una disminución de la presión arterial.</p><h3><strong>Hipotermia</strong></h3><p>La hipotermia es una caída excesiva de la temperatura corporal en la que el paciente tiene los miembros calientes y el resto del cuerpo frío al tacto. Esta característica puede ser un síntoma de <strong>shock</strong> neurogénico.</p><p>Se produce debido a que generalmente la lesión en la médula espinal resulta de la pérdida del tono simpático, que a su vez puede terminar en la incapacidad de reorientar el flujo sanguíneo a la circulación del núcleo, causando pérdida excesiva en la temperatura corporal.</p>								</div>
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									<p> </p><h3><strong>Bradicardia</strong></h3><p>La bradicardia es uno de los signos claves del <strong>shock</strong> neurogénico, caracterizándose por una frecuencia cardíaca en reposo de menos de 60 latidos por minuto.</p><p>Esto es debido a que la lesión de la médula espinal causa un daño en los nervios, que a su vez hace que las paredes de los vasos sanguíneos se relajen y disminuya la frecuencia cardíaca.</p><p>La bradicardia también se encuentra agravada por la hipoxia o la insuficiencia en el suministro de sangre.</p><p>Otros síntomas de<strong> shock</strong> incluyen: respiración superficial y rápida o dificultosa, apariencia pálida de la piel, piel fría y húmeda, mareos y aturdimiento, náuseas y vómitos, desmayo, pulso rápido y débil.</p><p>En el estado grave de <strong>shock</strong> neurogénico, los síntomas también pueden ir acompañados de: </p><ul><li>Cambio en el estado mental o confusión y desorientación</li><li>Ansiedad</li><li>Miradas en blanco o los ojos mirando a la nada</li><li>Sin respuesta a los estímulos</li><li>Baja o ninguna cantidad de orina</li><li>Sudoración excesiva</li><li>Decoloración azulada de los labios y los dedos (que significan una privación de oxígeno en el cuerpo)</li><li>Dolor torácico significativo</li><li>Inconsciencia.</li></ul><p>La gravedad de los síntomas dependerá de la lesión que originó el shock, porque en caso de lesiones en la columna, mientras más alta sea, más severos podrán ser los síntomas.</p><p>Existen otros tipos de shock que también pueden causar este tipo de síntomas, como es el caso del <a href="https://prevencionsaludproactiv.com/2022/07/17/shock-septico/" target="_blank" rel="noopener"><strong>shock</strong> séptico</a> o del <a href="https://prevencionsaludproactiv.com/2022/07/17/shock-cardiogenico/" target="_blank" rel="noopener"><strong>shock</strong> cardiogénico</a>. Sin embargo, en cualquiera de los casos es siempre importante acudir lo más rápido posible al hospital para iniciar el tratamiento.</p>								</div>
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									<p>La principal causa del <strong>shock</strong> neurogénico son las lesiones que ocurren en la columna, debido a golpes fuertes en las costillas, caídas de altura o accidentes de tránsito.</p><p>Sin embargo, una técnica incorrecta en la administración de la anestesia epidural, el uso de algunas drogas o medicamentos que afectan el sistema nervioso, también pueden ser causas de un<strong> shock</strong> neurogénico.</p>								</div>
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					<h2 class="elementor-heading-title elementor-size-default">Tratamiento del shock</h2>				</div>
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									<p>El tratamiento para el <strong>shock</strong> neurogénico debe ser iniciado lo más rápido posible para evitar complicaciones graves que coloquen en peligro la vida. </p><p>El <strong>shock</strong> neurogénico es una situación potencialmente mortal, por lo que se considera una emergencia médica con el fin de preservar la vida del paciente.</p><p>La inmovilización de la columna vertebral es necesaria para prevenir daños adicionales en la médula espinal.</p><p>El ingreso al hospital más cercano es necesario para asegurar la preservación de la vida. El objetivo de los médicos de urgencias será el de estabilizar al paciente y prevenir cualquier daño irreversible de los tejidos.</p><p>Para la presión arterial, el paciente debe recibir la administración de líquidos intravenosos con el fin de restablecer los valores. La dopamina y otros agentes inotrópicos pueden ser infundidos en caso de ser insuficiente la reanimación con líquido.</p><p>Para la bradicardia grave se suele administrar atropina o un marcapasos si es necesario.</p><p>En el caso de que ya haya habido déficit neurológico, la dosis alta de metilprednisolona puede administrarse dentro de las ocho horas siguientes a la aparición del <strong>shock</strong> neurogénico.</p>								</div>
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 <h3 class="lae-post-title"><a href="https://prevencionsaludproactiv.com/2026/04/12/ejercicios-de-calculo-de-gotas-y-microgotas-con-formulas-y-resultados/" title="Ejercicios de Cálculo de Gotas y Microgotas con Fórmulas y Resultados" rel="bookmark">Ejercicios de Cálculo de Gotas y Microgotas con Fórmulas y Resultados</a></h3>
 
 
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<span class="author vcard">By <a class="url fn n"
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<span class="author vcard">By <a class="url fn n"
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<span class="author vcard">By <a class="url fn n"
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							<h4>Prevención en Salud Proactiva</h4> 
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							<p>Paula Rojas Hormazábal</p> 
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							<p>Nuestra misión es proteger la vida y la salud de las personas, con enfoque en el entorno laboral. A través de programas especializados en primeros auxilios y maniobras críticas (RCP, DEA, SVB y Heimlich), educamos y capacitamos a personas y equipos para responder con seguridad ante emergencias. Además, garantizamos la continuidad y el bienestar organizacional mediante una gestión de riesgos alineada con la Ley 16.744 y los más altos estándares ISO.</p><div class="fa2752738c61f2593e5755f4d15b4d9c" data-index="2" style="float: none; margin:0px 0 0px 0; text-align:center;">
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<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2022/05/12/rcp-en-tiempos-de-covid-19/" class="_blank" target="_blank" >RCP en Tiempos de COVID-19</a></h4>
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<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2022/02/25/tendinitis-2/" class="_blank" target="_blank" >Tendinitis</a></h4>
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<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2022/02/24/superficies-de-trabajo/" class="_blank" target="_blank" >Superficies de Trabajo</a></h4>
<div class="pt-cv-content">CHARLA DE 5 MINUTOS Personas que han visualizado la charla ...<br /><div class="pt-cv-rmwrap"><a href="https://prevencionsaludproactiv.com/2022/02/24/superficies-de-trabajo/" class="_blank pt-cv-readmore btn btn-success" target="_blank">Leer Más</a></div></div></div></div>
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<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2022/02/24/riesgo-electrico/" class="_blank" target="_blank" >Riesgo Eléctrico</a></h4>
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<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2022/02/24/primeros-auxilios-2/" class="_blank" target="_blank" >Primeros Auxilios</a></h4>
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<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2022/02/20/rcp-solo-con-las-manos/" class="_blank" target="_blank" >RCP Solo con las Manos</a></h4>
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<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2022/01/18/maniobra-de-heimlich-charla-de-seguridad/" class="_blank" target="_blank" >Maniobra de Heimlich</a></h4>
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<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2021/12/07/ley-numero-21-156-desfibriladores-dea/" class="_blank" target="_blank" >Ley N° 21.156 Desfibriladores (DEA)</a></h4>
<div class="pt-cv-content">D.S 56 APRUEBA REGLAMENTO SOBRE LA OBLIGACIÓN DE DISPONER DE ...<br /><div class="pt-cv-rmwrap"><a href="https://prevencionsaludproactiv.com/2021/12/07/ley-numero-21-156-desfibriladores-dea/" class="_blank pt-cv-readmore btn btn-success" target="_blank">Leer Más</a></div></div></div></div>
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<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2021/11/19/escala-de-eva-en-enfermeria/" class="_blank" target="_blank" >Escala de EVA en Enfermería</a></h4>
<div class="pt-cv-content">La escala del dolor EVA en enfermería (Escala Visual Analógica), ...<br /><div class="pt-cv-rmwrap"><a href="https://prevencionsaludproactiv.com/2021/11/19/escala-de-eva-en-enfermeria/" class="_blank pt-cv-readmore btn btn-success" target="_blank">Leer Más</a></div></div></div></div>
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<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2021/11/27/via-intravenosa/" class="_blank" target="_blank" >Vía Intravenosa</a></h4>
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<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2021/11/27/fleboclisis/" class="_blank" target="_blank" >Fleboclisis</a></h4>
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<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2021/04/17/paciente-con-acv-isquemico/" class="_blank" target="_blank" >Paciente con ACV Isquémico</a></h4>
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<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2021/04/07/caso-clinico-pae/" class="_blank" target="_blank" >Caso Clínico PAE</a></h4>
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<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2021/04/03/importancia-de-los-electrolitos/" class="_blank" target="_blank" >Importancia de los Electrolitos</a></h4>
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<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2021/03/27/sueros-en-enfermeria/" class="_blank" target="_blank" >Soluciones Parenterales en Enfermería</a></h4>
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<div class="pt-cv-content">Concepto PAE El <;b data-path-to-node="0" data-index-in-node="3">;Proceso de Atención de Enfermería (PAE)<;/b>; es el método sistemático, organizado y científico que utilizamos ...<br /><div class="pt-cv-rmwrap"><a href="https://prevencionsaludproactiv.com/2021/02/23/proceso-de-atencion-de-enfermeria-pae/" class="_blank pt-cv-readmore btn btn-success" target="_blank">Leer Más</a></div></div></div></div></div></div></div></div></div></div><div class="widget_text awac-wrapper"><div class="widget_text awac widget custom_html-110"><div class="textwidget custom-html-widget"><script async src="https://pagead2.googlesyndication.com/pagead/js/adsbygoogle.js?client=ca-pub-4254951495333536" 
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Shock Neurogénico
