I'm a 4th semester nursing student working on a case study related to cardiogenic shock. Assessment has been done (bp 106/66- pts norm is 160/96, p 110 rapid and thready, resps 30 labored, crackles, wheezing, skin pale, cyanotic, cold, moist).
The question is asking to apply the principles of collaborative care to determine what the nurses' initial response would be and why. I know that ABC's are the priority and he is dyspneic. I would think that putting on some o2 (according to protocol) would be the first action. Seeing that his breathing is already labored, pt may need to be bagged, but at this point putting him on some o2 would fit. Finding out his o2 sats would also be necessary. As far as o2, use a mask at 10-12L/min or higher in an attempt to get up o2 sats to around 97-98%? As cardiac nurses, would this be the first thing that you would do?
It's difficult to think as a nurse already working on the floor when all I'm seeing are scenarios in the book. Thanks for any feedback.