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    Cardiogenic Shock GRP 2

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    LeeyanBhadzzVagay
    Cardiogenic shock is a life-threatening condition where the heart is unable to pump enough blood to meet the body's needs. It occurs when the heart is damaged, such as from a heart attack, and cannot effectively pump blood to vital organs. As a result, blood pressure drops and organs begin to fail from lack of nutrients. Treatment focuses on restoring blood flow through medications, surgeries like angioplasty, or devices like an intra-aortic balloon pump. Nurses monitor the patient closely and focus on preventing complications through measures like adequate oxygenation, decreasing cardiac workload, and fluid management. Even with treatment, cardiogenic shock has a high mortality rate.

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    Cardiogenic Shock GRP 2

    Uploaded by

    LeeyanBhadzzVagay
    22 views28 pages
    Cardiogenic shock is a life-threatening condition where the heart is unable to pump enough blood to meet the body's needs. It occurs when the heart is damaged, such as from a heart attack, and cannot effectively pump blood to vital organs. As a result, blood pressure drops and organs begin to fail from lack of nutrients. Treatment focuses on restoring blood flow through medications, surgeries like angioplasty, or devices like an intra-aortic balloon pump. Nurses monitor the patient closely and focus on preventing complications through measures like adequate oxygenation, decreasing cardiac workload, and fluid management. Even with treatment, cardiogenic shock has a high mortality rate.

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    Cardiogenic shock

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    Cardiogenic-Shock-Grp-2

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    Cardiogenic shock is a life-threatening condition where the heart is unable to pump enough blood to meet the body's needs. It occurs when the heart is damaged, such as from a heart attack, and cannot effectively pump blood to vital organs. As a result, blood pressure drops and organs begin to fail from lack of nutrients. Treatment focuses on restoring blood flow through medications, surgeries like angioplasty, or devices like an intra-aortic balloon pump. Nurses monitor the patient closely and focus on preventing complications through measures like adequate oxygenation, decreasing cardiac workload, and fluid management. Even with treatment, cardiogenic shock has a high mortality rate.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    22 views28 pages

    Cardiogenic Shock GRP 2

    Uploaded by

    LeeyanBhadzzVagay
    Cardiogenic shock is a life-threatening condition where the heart is unable to pump enough blood to meet the body's needs. It occurs when the heart is damaged, such as from a heart attack, and cannot effectively pump blood to vital organs. As a result, blood pressure drops and organs begin to fail from lack of nutrients. Treatment focuses on restoring blood flow through medications, surgeries like angioplasty, or devices like an intra-aortic balloon pump. Nurses monitor the patient closely and focus on preventing complications through measures like adequate oxygenation, decreasing cardiac workload, and fluid management. Even with treatment, cardiogenic shock has a high mortality rate.

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    of 28

    Group 2

    Agdeppa, Louella Mae Organo, Kimberly Faye


    Balubar, Elden Joyce Ramos, Tristan Nicole
    Cabbab, Michelle Joy Tabag, Angela
    Collado, Jantrix Ace Tolentino, Pamela Joyce
    Dyquiangco, Erisal Marie Valencia, Ivy Anne
    Labuni, Andrea Janella Yadao, Calvin Keith
    Mosico, Remigio
    Your
    GAS STATION BODY
    GAS PUMP = HEART
    HOSE =
    VASCULATURE
    =
    CAR
    =
    TISSUES/ORGANS
    also known as "Cardiac Shock"

    Occurs when the heart is unable to supply


    enough blood to the vital organs of the body.

    As a result of the failure of the heart to pump


    enough nutrients to the body, blood pressure
    and organs may begin to fail.

    Cardiogenic Shock is rare but when it occurs, it


    can be life threatening
    STAGES OF Classic (C): Need for medicine
    or devices to help get blood to
    CARDIOGENIC SHOCK organs.
    Stages range from being at risk to
    being very ill:
    Deteriorating (D): Not
    responding to medicine or
    At risk (A): Heart disease, devices and getting worse.
    such as heart attack or heart
    failure, but no signs of shock. Extremis (E): Cardiac arrest
    that needs CPR, ventilator and
    Beginning (B): Low blood
    defibrillator.
    pressure or heart rate.
    CAUSES

    Lack of oxygen to the heart, usually from a heart


    attack, damages its main pumping chamber (left
    ventricle). Without oxygen-rich blood flowing to that
    area of your heart, the heart muscle can weaken and go
    into cardiogenic shock.
    Damage to right ventricle, which sends blood to lungs to
    get oxygen, can lead to cardiogenic shock.
    OTHER POSSIBLE CAUSES INCLUDE:

    CAUSES Inflammation of the heart


    muscle (myocarditis)
    Infection of the heart valves
    (endocarditis)
    Weakened heart from any cause
    Drug overdoses or poisoning
    with substances that can affect
    your heart's pumping ability
    RISK FACTORS
    01 Age: 75 years old or older
    02 Sex: More common in women
    than men

    03 Heart and blood vessel


    problem

    Cardiogenic Shock
    04 Diabetes
    05 Overweight or Obesity
    06 History of Coronary Artery
    Bypass Grafting (CABG)
    07 Long term valvular disease
    Signs and Symptoms

    HEART: weak, not pumping blood efficiently


    Pulmonary edema
    Dyspnea (difficulty breathing)
    Low O2 levels in the blood
    Increased RR and HR
    Weak peripheral pulses
    Low SBP <90 mmHg
    Chest pain
    Signs and Symptoms

    BRAIN: drop in CPP (cerebral perfusion pressure)


    Mental Status (confusion, agitation)

    KIDNEY: activate RAS=keep sodium and H2O


    Low urinary output (oliguria)

    SKIN:
    cold, cool, clammy, pale
    low capillary refill
    Pathophysiology
    Complications
    01. Damage to organs 04. Stroke
    such as your brain,
    liver and kidneys

    02. Cardiac arrest 05. Death


    03. Abnormal heart rhythms

    Although the chances of surviving cardiogenic shock have improved


    over time, 50% to 75% of people don’t survive it. Without — and even
    with — treatment, the condition can be fatal.
    TREATMENT &
    MANAGEMENT
    Emergency Treatment:
    IV Medications that increase heart pumping ability,
    reduces risk of clot, and support heart function:
    Vasopressors, Inotropic Agents, Aspirin, Anti-platelet
    medication, other blood-thinning medication

    Oxygen support
    TREATMENT &
    MANAGEMENT

    Surgeries and other procedures:


    focuses to restore blood flow through heart:
    Angioplasty and Stenting
    Balloon pump
    Extracorporeal Membrane Oxygenation
    (ECMO)
    TREATMENT &
    MANAGEMENT
    Surgeries and other procedures:
    if medications and other procedures don't work:
    Heart valve repair or replacement (Valve problem)
    Coronary Artery Bypass Graft (CABG) (several blocked
    coronary arteries)
    Left Ventricular Assist Device (LVAD)
    Heart Transplant
    NURSING
    RESPONSIBILITIES
    To prevent recurrence, identifying at-risk patients
    early, promoting adequate oxygenation of the heart
    muscle, and decreasing cardiac workload can
    prevent cardiogenic shock.

    Fluids. IV infusions must be observed closely because


    tissue necrosis and sloughing may occur if
    vasopressor medications infiltrate the tissues, and it is
    also necessary to monitor the I&O.

    NURSING
    RESPONSIBILITIES
    Hemodynamic status. Arterial lines and ECG
    monitoring equipment must be well maintained and
    functioning; changes in hemodynamic, cardiac, and
    pulmonary status and laboratory values are
    documented and reported; and adventitious breath
    sounds, changes in cardiac rhythm, and other
    abnormal physical assessment findings are reported
    immediately.

    NURSING
    RESPONSIBILITIES
    Intra-aortic balloon counter pulsation. The nurse makes
    ongoing timing adjustments of the balloon pump to
    maximize its effectiveness by synchronizing it with the
    cardiac cycle.

    Enhance safety and comfort. Administering of


    medication to relieve chest pain, preventing infection,
    protecting the skin, and monitoring respiratory and
    renal functions help in safeguarding and enhancing the
    comfort of the patient.

    NURSING
    RESPONSIBILITIES
    Arterial blood gas. Monitor ABG values to measure
    oxygenation and detect acidosis from poor tissue
    perfusion.

    Positioning. If the patient is on the IABP, reposition


    him often and perform passive range of motion
    exercises to prevent skin breakdown, but don’t flex the
    patient’s “ballooned” leg at the hip because this may
    displace or fracture the catheter.

    NURSING
    DIAGNOSIS
    Impaired Gas Exchange related to
    changes in the alveolar-capillary
    membrane

    Decreased Cardiac Output related to


    Dysrhythmias

    Ineffective Tissue Perfusion related to


    reduction/cessation of blood flow
    NURSING
    DIAGNOSIS

    Excess Fluid Volume related to Decrease


    in renal organ perfusion /Increased
    sodium and water retention /Hydrostatic
    pressure increase or decrease plasma
    proteins.

    Anxiety related to Fear of death


    Thank
    you!

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