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8 Cards in this Set
- Front
- Back
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What is cardiogenic shock? |
Failure of the heart pump resulting in decreased cardiac output and thus decreased tissue/organ perfusion |
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What is the most common cause of cardiogenic shock? |
Myocardial infarction |
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What are the symptoms of cardiogenic shock? |
- pulmonary oedema (dyspnoea, crackle sound in lungs) - peripheral oedema (distended jugular vein oedema) - hypotension - chest pain - cool, clammy skin - oliguria |
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What is the main underlying issue in cardiogenic shock? |
Decreased contractility of the heart muscle |
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What medications could you give in cardiogenic shock? |
- diuretics (if pulmonary/peripheral oedema) - vasopressors which cause vasoconstriction - dopamine - dobutamine |
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What type of drug is dopamine and dobutamine? |
Positive inotropics |
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What do positive inotropic medications do? |
Increase heart contractility |
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What is a side effect of dobutamine? |
Worsening hypotension because it causes vasodilation |
