This
presentation is designed for Nursing students and it gives a brief
about what you should know while caring for a client with Cardiogenic
shock and also its prevention.
3. Definition
What is Cardiogenic shock?
Cardiogenic shock is defined as heart’s
inability to contract and pump blood
efficiently due to inadequate supply of O2 &
nutrients to the heart.
Most often caused by severe heart attack.
Mortality rate is very high (50-75%), if not
treated immediately
4. Predisposing/Risk Factors
Older age
A history of heart attacks or heart failure
Coronary heart disease (CHD)- Affects all the
major blood vessels of heart
Hypertension
Diabetes
Obesity
Atherosclerosis
11. Correction of underlying cause:
→ Correction of the underlying cause is very
important as it may lead to:
- Fail of the compensatory mechanisms
- It can reduce the effectiveness of the
interventions
→ Correction of:
- Dysrhythmia
- Acidosis & electrolyte disturbances
12. Initiation of first line treatment:
→ Oxygenation- Nasal cannula @ 2-6 lpm
→ Hemodynamic Monitoring- BP
→ Fluid Therapy- RL, NS, Dextran
→ Pain Control- Morphine
16. Monitoring Hemodynamic Status:
Assess vitals regularly.
Maintain a patent arterial line, if any
Assess functioning of ECG monitor &
readings
17. Administering medications & IV fluids:
Monitor vitals before and after administering
medications & IV fluids.
Administer prescribed medications & fluids
accurately (Follow10 Rights)
Assess IV infusion site for bleeding or any
allergic response.
Monitor:
- Urine Output
- BUN Indicators of renal function
- Serum Creatinine
18. Preventing Complications:
Notify the physician promptly if:
- Hemodynamic, Cardiac or Pulmonary status
changes.
- Decline in ABG or Pulse Oximeter values
- Adventitious breath sounds heard
- Changes in cardiac rhythm
19. Limit myocardial oxygen demand by:
Administering analgesics, sedatives, and other agents
as prescribed.
Positioning the patient for comfort.
Limiting activities.
Providing calm and quiet environment
Offering support to reduce anxiety.
Teaching the patient about his condition.
Enhancing myocardial oxygen supply by:
Administering oxygen.
Monitoring the patient’s respiratory status.
Administering prescribed medications.
20. How can Cardiogenic shock be
prevented?
Adopt ‘Heart healthy lifestyle’
Take healthy diet
- Low in sodium & fat
Control hypertension and diabetes
Reduce obesity- Be physically active
Quit smoking
If lifestyle changes are not enough, Take all of
your medicines as prescribed.