cardiogenic shock

Question 1

s/s

Answer 1

• cold clammy skin
• hypotension (systolic below 90)
• narrow pulse pressure
• oliguria (urine output less than 30ml/hr)
• tachycardia/arrhythmias

Question 2

key test

Answer 2

• ECG shows MI
• enlarged q waves
• elevated ST segment

Question 3

key treatments

Answer 3

*intra-aortic balloon pump
cardiac glycoside: digoxin
*cardia inotropes: dopamine, dobutamine, inamrinone
milrinone
*diuretics: furosemide (lasix) bumetanide (bumex)
metolozone (xaroxolyn)
*vasodilators: niproprusside (Nitropress) nitroglycerine
*vasopressor: norepinephrine (Levophed)

Question 4

key interventions

Answer 4

*assess cardiovascular status
*hemodynamic varables, vs, heart sounds, capillary refill
skin temp, peripheral pulses
*assess resp status (breath sounds, ABG levels)
*admin IV fluids, o2, meds as prescribed