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Treatment for cardiogenic shock?



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Apr 18, 2009 08:31 PM

Treatment for cardiogenic shock?


Hi Just wondering if any Knowledgable nurses out there could give me more insight to the treatment of cardio shock like what rugs are given? patient positioning? Lab values seen? I hav been reading about it in a few different books and getting real confused with contradicting info Thanx

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5 Comments
No. 1
from Virgo_RN
Old Apr 23, 2009, 03:00 AM

Default Re: Treatment for cardiogenic shock?
Dopamine may be used to increase myocardial contractility, pressors may be used to increase MAP. I'd expect to see increases in BUN/Cr, lactate, and liver enzymes ("shock liver").
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No. 2
from hollyberrys720
Old Apr 23, 2009, 11:26 AM

Default Re: Treatment for cardiogenic shock?
Thanx - i was reading one of my review books it got me confused - so you would use pressors but would you also use dilators as well to balance it out?
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No. 3
from Virgo_RN
Old Apr 23, 2009, 12:34 PM

Default Re: Treatment for cardiogenic shock?
Sometimes vasodilators and/or diuretics would be used to decrease venous return/preload. Also remember that cardiogenic shock has a high mortality rate.
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No. 4
from ghillbert
Old Apr 26, 2009, 10:53 AM

Default Re: Treatment for cardiogenic shock?
IABP, VADs are also used. Often inotropes to increase contractility, and dilators to reduce AFTERLOAD (ie. reduce cardiac workload). You generally don't want to reduce preload too much as shocked hearts often need a high filling volume.
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No. 5
from Virgo_RN
Old Apr 26, 2009, 02:39 PM

Default Re: Treatment for cardiogenic shock?
...and sometimes shocked hearts have too much preload that the heart is not able to pump forward, thus you've got to either "pee it, park it, or pump it forward".
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