Cardiogenic Shock

Pump failure resulting in inability of heart to eject sufficient blood to keep tissues/organs oxygenated
1. Myocardial Injury (acute or progressive)
  1. ▼ Contractility
    1. ▼ Tissue perfusion
      1. Compensatory mechanisms are activated
        SNS Stimulation
        Renin-angiotensin-aldosterone system
        ADH release
        Intracellular fluid shift
        Massive vasoconstriction
        ▼ Perfusion of vital organs
        Multisystem organ failure
    2. ▼ BP
    3. ▼ Pulmonary edema
The goal is to fix the following: Preload (if decreased, administer fluids/if increased, administer diuretics), Afterload (if decreased administer vasopressors, if increased administer vasodilators), contractility (Dopamine, IABP, nitro, MS, beta blockers, external pacing)

Resource summary

	Created by mshanrn over 9 years ago