Treatment for cardiogenic shock?

  1. 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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    About hollyberrys720

    Joined: Mar '08; Posts: 10; Likes: 2


  3. by   Virgo_RN
    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").
  4. by   hollyberrys720
    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?
  5. by   Virgo_RN
    Sometimes vasodilators and/or diuretics would be used to decrease venous return/preload. Also remember that cardiogenic shock has a high mortality rate.
  6. by   ghillbert
    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.
  7. by   Virgo_RN
    ...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".