Cardiogenic Shock

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Rhabdomyolysis with Crush Injury

creat de Yerin Han

Patient Rx map Ali Forghany

creat de Ali Forghany

URINARY SYSTEM

creat de fernanda arriaga

concept map

creat de Brandy Haynes

Early

Cardiogenic Shock

s/s

Diagnostic findings

⇧Cardiac markers ⇧b-type natriuretic peptide(BNP) ⇧Blood glucose ⇧BUN -ECG(e.g. dysrhythmias) -Echocardiogram(e.g.left ventricular dysfx) -chest x-ray(e.g. pulmonary infiltrates)

cerebral perfusion impaired

-Anxiety -confusion -agitation

⇓ renal BF

⇓ urinary output

Na+ & H20 retention

Signs of peripheral hypoperfusion

-cyanosis -pallor -diaphoresis -weak peripheral pulse -cool & clammy skin -delayed cap refill

-tachypneic -crackles -⇧ PAWP -⇧ SVV -⇧Pulmonary vascular resistance

⇧SVR-->⇧ O2 consumption

-tachycardia -hypotension -narrowed pulse pressure

Leading cause of death from MI

systolic dysfx: heart's inability to pump the blood forward

Most common cause: MI

primarily affects the LV

CO=SV X HR

⇓filling results in ⇓ SV

either systolic or diastolic dysfx of the ♡'s pumping action results in ⇓ CO(⇓ 4L/min)