6 - Adult - Cardiogenic Shock

Question 1

What are the S/S of cardiogenic shock?

Answer 1

• chest pain/tightness/heaviness with SBP under 90 mmHg
• wet lung sounds
• pedal edema
• dyspnea
• diaphoresis
• N/V

Question 2

A _____ mL NS bolus may be given as a fluid trial to increase systolic blood pressure.

Answer 2

250

Question 3

If the cardiogenic shock patien’s lung sounds remain clear after the saline bolus, another bolus of _____ mL NS may be administered.

Answer 3

250

Question 4

If pulmonary edema is present, and SBP is above 90 mmHg, you may attempt what procedure?

Answer 4

CPAP

Question 5

Dopamine infusions start at _____ and may be increased to _____.

A. 5 mcg/kg/min; 20 mcg/kg/min
B. 5 mcg/kg/min; 30 mcg/kg/min
C. 10 mcg/kg/min; 20 mcg/kg/min
D. 10 mcg/kg/min; 30 mcg/kg/min

Answer 5

A. 5 mcg/kg/min; 20 mcg/kg/min

Question 6

With dopamine, the patient’s SBP should be raised to a minimum of _____..

A. 90 mmHg
B. 100 mmHg
C. 110 mmHg
D. 120 mmHg

Answer 6

B. 100 mmHg