Cardiogenic shock

Question 1

Early signs of shock (1)

Answer 1

MAP is under 10mm Hg from baseline

Effective compensation

Slight increase in HR

Question 2

Compensatory signs of shock (2)

Answer 2

drop in MAP by 10-15mm Hg

Increased

• renin
• ADH
• Vasoconstriction
• HR
• Potassium

Decreased

• Pulse pressure
• pH

Restless and apprehensive

Question 3

Progressive signs of shock (3)

Answer 3

Sustained drop in MAP by over 20mm Hg

Tissue and organ hypoxia

Oliguria
Weak, rapid pulse
lower pH

sensorineural cyhanges

Question 4

Refractory signs (4) irreversible

Answer 4

Excessive cell and organ damage

multi organ failure

death

Question 5

Clinical manifestations post MI

Answer 5

Need O2 admin and pain control (morphine)

Monitor Hemodynamics and labs (troponin)
Not as aggressive w/ fluid therapy

Give meds

• Dobutamine
• Nitroglycerine
• Antiarrhythmics
• Furosemide
• Thrombolytics