Cardiogenic Shock Case Study

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Cardiogenic Shock Cardiogenic Shock is defined as decreased cardiac output and evidence of tissue hypoxia in the presence of adequate intravascular volume Cardiogenic shock can acute or chronic disorders that effect the function of the heart in supplying adequate tissue/organ perfusion. Stages of shock Compensated Shock: The body homeostatic mechanisms take over and compensate for the poor perfusion. Hypotensive Shock: The body is no longer able to compensate. Patient start to show sign of distress. Heart rate elevated, hypotension, organ dysfunction, altered mental status. Irreversible Shock: Patient will start to have organ damage that is irreversible, bradycardia, severe hypotension. Patients have a poor likelihood of survival. Clinical …show more content…

If Cardiac Output is compromised than you will have low tissue/organ perfusion. Causing the patient to go into cardiac shock. Systolic and Diastolic Function Systolic function is the ability of the ventricles to eject blood out of the chamber. Systolic function can be altered from certain pathology such as CHF, ischemia, cardiomyopathy or heart disease. Diastolic function is the ability of the ventricles to relax and fill properly. If the chamber is unable to relax and fill properly than this can cause systolic dysfunction. When evaluating systolic and diastolic function it is extremely important to obtain images of wall motion, wall thickness, chamber size and ventricular end diastolic pressure. Congenital Heart …show more content…

Pedof should always be attempted to get highest velocity additional view is right sternal boarder (placing patient in right lateral decubitus) Cardiomyopathy: Dilated chambers Decreased systolic and diastolic function Thin walls Possibility of a thrombus Summary Patients that come in in cardiogenic shock during there echocardiogram need to be evaluated in a whole looking for any abnormalities. Diastole dysfunction, systolic dysfunction, any possible shunting issues, aortic stenosis, coarctation of the aorta or

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