Lifespan 370: Test 3, Cardiogenic Shock

Front 1

When either systolic or diastolic dysfunction of the pumping action of the heart results in compromised CO?

Back 1

Cardiogenic Shock

Front 2

Precipitating causes of systolic dysfunction?

Back 2

MI
Cardiomyopathies
Blunt cardiac injury
Severe HTN

Front 3

Precipitating causes of diastolic dysfunction?

Back 3

Cardiac tamponade
Cardiomyopathy

Front 4

Early clinical presentation of cardiogenic shock?

Back 4

Tachycardia
Hypotension
Tachypnea
Crackles
Pale, clammy, cool skin
Decreased cap refill

Anxiety and agitation may develop as cerebral perfusion is impaired

Front 5

Collaborative care for cardiogenic shock?

Back 5

Thrombolytic therapy
Angioplasty with stenting
Emergency revascularization
Valve replacement

****Cardiac cath should be performed as soon as possible after the initial insult ****

Front 6

Medication to treat cardiogenic shock?

Back 6

Morphine
O2
Dopamine
Dobutamine
Epinephrine
Nitroglycerin

Front 7

Effects of morphine (cardiogenic shock)?

Back 7

decrease pain
decrease O2 workload and demand

Front 8

Effects of dopamine (cardiogenic shock)?

Back 8

Increase HR and contractility
Increase blood flow to brain and kidneys

Front 9

Effects of dobutamine (cardiogenic shock)?

Back 9

Increased contractility of the heart (stronger than dopamine)

Front 10

Effects of epinephrine (cardiogenic shock)?

Back 10

Stimulates cardiac system
Dilates bronchioles
Peripheral vasodialator
(given during cardiac arrest)

Front 11

Nitroglycerin?

Back 11

Decreases cardiac preload
Vasodialates

(take every 5 min, if pain not gone after 3rd dose go to the ER; 2 or 3 doses call MD)