Cardiogenic Shock

Question 1

What is the initial therapy in cardiogenic shock with decreased BP?

Answer 1

Single agent with inotropic and vasopressor effects (e.g. norepinephrine or dopamine)

Question 2

If SBP is

Answer 2

Norepinephrine because it can rapidly raise the systolic arterial pressure

Question 3

Reduce preload

Answer 3

Loop diuretics (furosemide or bumetanide) and ventilators (nitroglycerine and morphine)

Question 4

Reduce afterload

Answer 4

Arterial vasodilators (ACEi or nitroprusside)