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Nursing role in the acute care setting - Cardiogenic shock

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