Cardiogenic shock Flashcards
what happens to heart during cardiogenic shock?
when BP drop 40 mmhg systolic from baseline
damage to heart
on what wave should we cardio shock?
Fire on R wave
what causes cardiogenic shock?
MI (ST changes)
irregular ventricle rhythm
DIC
what test are used to test MI?
EKG troponin
what are S/S for cardiogenic shock?
decrease c/o
weak thready pulse
tachycardia
BP does not change
Change LOC
Resp: tachy, decrease 02 increase CO2
GI: NO CO or UO no bowl sounds
Cold clammy cyanotic
what are the treatment for cardiogenic shock?
Increase BP
Fluids-wisely NSS lactate (isotonic)
Increase tone in tubes
Strengthen heart pump
Monitor UO
what meds are given during cardiogenic shock?
MONA
vasopressor, increase BP
Dopamine: increase pressure in heart
mechanical device to help cardiogenic shock?
IABP, LVAD
what are nurse intervention for cardiogenic shock?
monitor BP
early detection = NO MODS
use PAC to measure
FYI
increase fluids = pulmonary edema
decrease fluids = irreversible shock
3 things to keep BP/CO in balance ?
a good heart
good blood volume
good tone
