Cardiogenic Shock Flashcards
1
Q
What is cardiogenic shock?
A
- decreased CO –> cxing less perfusion even though there is circulation happening
- WORSE manifestation of decompesnated HF
2
Q
What cx cardiogenic shock?
A
- Acute MI and ischemia is the MOST COMMON
- -STEMI»_space; non STEMI
- LV HF –> pulm edema
- structural prob:
- pericarditis, myocarditis, tamponade
3
Q
What is the leading cx of death in PATIENTS?
A
MI + Cardiogenic shock
mortality rates: 50%; first 48 hrs
4
Q
Mortality of cardiogenic shock?
A
40-80% w/in 1 month
5
Q
What is happening in cardiogenic shock?
A
pump failure –> less CO and BP –> less coronary artery perfusion –> less contractility and CO
6
Q
RF?
A
- older
- female
- Hx of MI
- CHF
- vessel dz
- diabetes
7
Q
What would you find?
A
-hypotension: systolic apnea–> hyperventilation) ; tachypnea
8
Q
Tx?
A
- DO NOT delay tx for Hx and PE
- MONAB
- IV access
- Meds:
- -1) vaspressors (norepi/dopamine) + inotrope (dobutamine)
- 2) small fluids (challenge)
