cardiogenic SHOCK MADE BY SHRIKANT FROM RAVI SCHOOL

it IS VERY IMPORTANT FOR BSC NURSING STUDENTS

1. CARDIOGENIC SHOCK! SUPERVISED BY: Mr. George. D. Honnalli M.Sc.[N] HOD, Dept of Medical Surgical Nursing BBC College of Nursing Gangavathi PRESENTED BY : Ms. Syed Ruksar 2 nd year B.Sc. Nursing BBC College of Nursing Gangavathi

2. Cardiogenic shock occurs when the heart fails to pump enough blood to meet the body's needs, leading to inadequate tissue perfusion. It's often caused by severe heart attack (myocardial infarction), heart failure, or other conditions that impair heart function . INTRODUCTION

3. Definition Cardiogenic shock is defined as the hearts inability to contract and pump the blood effectively due to inadequate supply of oxygen and nutrients to the body. INCIDENCE Incidence rate of cardiogenic shock is 43.7% 40 to 70% cardiogenic shock is with acute MI

4. CAUSES RISK FACTORS Due to intrinsic heart problem Myocardial infarction Endocarditis , Myocarditis Acute sever pulmonary embolism Cerebrovascular disease Tension pneumothorax Thyrotoxic crisis Cardiac rupture Cardiac dysrhythmias Ventricular septal rupture Older age History of heart attack Coronary heart disease High BP Diabetes Obesity

5. PATHOPHYSIOLOGY Impaired pumping ability of the left ventricle Decreased stroke value Inadequate systolic emptying Decreased cardiac output Lactic Acidosis Decreased tissue perfusion Increased left arterial pressure Decreased Blood pressure Elivate left ventricular filling pressure Pulmonary Instestial edema intra-alveolar edema Increased pulmonary venous pressure Increased pulmonary capillary pressure

6. CLINICAL MSNIFESTATIONS Chest pain Dyspenia Nousea&vomiting Cyanosis Perfuse sweating Confusion Restlessness Palpitation Cool calmy skin Mental lethargy Pale skin Weak threadypulse Hypotension Tachycardia or Bradycardia Pheripheral edema Pulmonary crackels Oliguria Altered mental status Quite heart sound SYMPTOMS SIGNS

7. DAIGNOSTIC EVALUTION History collection Physical examination Electro cardiogram Blood pressure measurement X-Ray Coronary angiography Echo cardiography Cardiac enzyme test ABG analysis

8. MANAGEMENT Thrombolytics Heparin Digoxin Vasodilators Diuretics Dopamine Medical devices & procedures CABG Artificially hear pumps Heart transplant Surgery to appear on injury to heart Medical management Surgical management

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