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 different injury and is in neurogenic shock can experience fluid loss, so each cause needs to be evaluated appropriately as they do not lead up to the same complications.
Shock is not the only thing that needs to be closely evaluated. “Burn is a generic term used to describe cutaneous injury resulting from thermal, chemical, or electrical environmental causes” (Huether, McCance, 2010, pp. 1714). Burns can range anywhere from mild to deadly. For someone to experience a major burn, their burn might be referred to as third-degree burns, also known as full-thickness injuries. There could be a number of causes for a major burn; electrical, scald injury, or even direct contact with a flame. A major burn can involve the total destruction of the epidermis, dermis and sometimes the subcutaneous tissue and even the muscle and bone.
Every burn is different. The wound management, alleviation of side effects, as well as grafting will be different; however, they are all very important, no matter the severity of the burn. When it comes to major burns, they typically do not heal. The elasticity that was once present in the dermis is now gone, leaving the skin to feel as a hard leather surface with destroyed nerve endings. Burns can often...