Cardiogenic Shock Flashcards
Indications for Cardiogenic Shock?
STEMI - positive 12 lead ECG AND Cardiogenic Shock
Cardiogenic Shock - state in which the heart has been damaged to such an extent that it is unable to suipply enough blood to the organs, tissues, and cells of the body
0.9% NaCl Fluid Bolus
Conditions:
AGE?
SBP?
OTHER?
Age: ≥ 18 years
SBP: Hypotension
Other: Chest auscultation is clear
0.9% NaCl Fluid Bolus
Contraindications
Fluid Overload
SBP ≥90mmHg
0.9% NaCl Fluid Bolus
Route - IV / IO / CVAD
Infusion?
Infusion Interval?
Reassess Every?
Max. volume?
Infusion: 10ml/kg
Infusion Interval: N/A
Reassess Every: 250ml
Max. volume: 1000ml
fluid bolus should be administered before dopamine is considered
DOPAMINE
Conditions
Age?
SBP?
Age: ≥ 18 years
SBP: Hypotension
DOPAMINE
Contraindications
- Allergy or sensitivity
- Tachydysrhythmias excluding sinus tachycardia
- Mechanical Shock
- Hypovolemia
- Pheochromocytoma
Mechanical or Obstructive Shock - PE, Tamponade, Tension Pneumothorax
DOPAMINE
Route - IV
Initial infusion Rate?
Titration increment?
Titration interval?
Max. Infusion Rate?
SBP target?
Discontinuation amount of time?
Initial infusion Rate: 5mcg/kg/min
Titration increment: 5mcg/kg/min
Titration interval: 5mins
Max. Infusion Rate: 20mcg/kg/min
SBP target: > 90 to < 110
Discontinuation amount of time- 5 to 10 mins
DOPAMINE
Route - IV
Initial infusion Rate?
Titration increment?
Titration interval?
Max. Infusion Rate?
SBP target?
Discontinuation amount of time?
Initial infusion Rate: 5mcg/kg/min
Titration increment: 5mcg/kg/min
Titration interval: 5mins
Max. Infusion Rate: 20mcg/kg/min
SBP target: ≥90 to < 110
Discontinuation: gradually over 5 - 10minutes
Clinical Consideration? If patient is Bradycardic?
Contact BHP
companion document: intented to allow Paramedic to use their judgement
Call for potential to pace a lower rate than 80 BPM
