Chapter 154 Cardiogenic shock

Question 1

What are the hallmarks for cardigenic shock?

Answer 1

CHF and hypotension

Question 2

For a patient in cardiogenic shock with hypotension which drug could be useful: a vasodilator or glucagon?

Answer 2

Vasodilator is contraindicated is hypotension is present. Glucagon has an inotropic effect on the heart and can be helpful to increase heart contractility and cardiac output.

Question 3

What does sepsis induced cardiomyopathy look like on TFAST?

Answer 3

Like DCM. Decreased ejection fraction and dilated left ventricle. Can be seen with severe disease suck as sepsis and neoplasia.

Question 4

What are the treatment for patients with sepsis-induced cardiomyopathy?

Answer 4

Vasopressor, fluid resuscitation, and infectious control.

Question 5

What are treatment for tachycardia arrhythmias?

Answer 5

Vagal manouver, beta blocker, Ca channel blocker

Question 6

Treatment for high degree 2nd AV block and 3rd degree AV block?

Answer 6

Atropine test, pacemaker is unresponsive.

Question 7

What are the forms of circulatory shock?

Answer 7

SHOC(K). (distributive, hypovolemic, obstructive, cardiogenic).