ACTIVE LEARNING TEMPLATE: System Disorder
STUDENT NAME DISORDER/DISEASE PROCESs Cardiogenic shock
REVIEW MODULE CHAPTER
Alterations in Health (Diagnosis) significant reduction in CO and ejection fraction
Pathophysiology Related to Client Problem failure of the heart to pump effectively due to a cardiac factor
Health Promotion and Disease Prevention
educate client about ways to reduce the risk of MI
ASSESSMENT
SAFETY CONSIDERATIONS
Risk Factors
Expected Findings hypoxia, tachypnea, pallor and cyanois, central venous pressure increased with systemic vascular resistance.
dysrhythmias, drug therapy reactions
cardiac pump failure occurs due to a direct cardiac cause, such as MI, older adult clients are at increasedrisk for MI and
Laboratory Tests ABGs : decreased tissue oxygenation cardiac enzymes: elevation B-type natriuretic peptide
Diagnostic Procedures ECG,:assess for changes associated with MI, echocardiogram, CT, cardiac catheterization, chest x-ray
PATIENT-CENTERED CARE
Complications
Nursing Care
Medications
Client Education
multiple organ dysfunction syndrome, disseminated intravascular coagulation, neurologic impairment, stroke, renal failure, dysrhythmia, ischemia
oxygenation status, vitals, cardiac monitoring, urine output, level of conciousness, education
vasodilator: sodium nitroprusside, dobutamine, morphine, anticoagulants, normal saline or LR,
educate client how to decrease risk of MI: exercise, diet, stress reduction, stop smoking
Therapeutic Procedures
Interprofessional Care
intubation, revascularization, thrombollytics
dietician, nutritionalist, cardiology, PT
ACTIVE LEARNING TEMPLATES
THERAPEUTIC PROCEDURE A11