Cardiac must study

Question 1

Causes of cardiogenic shock

Answer 1

STEMI NSTEMI

ALso consider in hypoxia, hx of severe resp disease, autoimmune disease, malignancy or PE

Question 2

TX cardiogenic shock

Answer 2

No more than 500mL bolus and reevaluate
Airway management (PPV may decrease preload) 
Pressor, first choice dobutamine second choice dopamine then norepi

Question 3

Pulmonary edema

Answer 3

Most serious complication of AHF. Fluid can accumulate from peumonia, exposure to toxins/meds, exercise, living at high alititudes)

Question 4

Impending resp failure signs

Answer 4

SPO2 less than 85
ETCO2 greater than 50
Accessory muscle use
altered LOC

Question 5

Pulm edema tx

Answer 5

BP over 100 nitro 0.4mg q 5 (maybe max 2)
Lasix decreases venous tone immediately and produces diuresis in 5-10minutes
CPAP
Tubing PEEP at 5cm increase by 2.5 max 10cm
Pressor if SBP under 90 then give nitro

Question 6

Heart failure causes

Answer 6

Dysrhythmias ( a fib)
Valve dysfunction (aortic, mitral)
Cardiomyopathy
Myo/pericarditis
Tamponade