ShockIntervention - Intervention for Cardiac Shock - Molly...

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Intervention for Cardiac Shock - Molly Basics of cardiac shock you need to know before reading my LI. .. The clinical definition of cardiogenic shock is decreased cardiac output and evidence of tissue hypoxia in the presence of adequate intravascular volume Hemodynamic criteria for cardiogenic shock are sustained hypotension (systolic blood pressure <90 mm Hg for at least 30 min) and a reduced cardiac index (<2.2 L/min/m2) in the presence of elevated pulmonary capillary occlusion pressure (>15 mm Hg) The condition is a medical emergency and is fatal if not treated right away The historic mortality rates from cardiogenic shock are 80-90%; more recent studies have reported somewhat lower in-hospital mortality rates, in the range of 56-67% The most common cause of cardiogenic shock is damage to the heart muscle from a severe heart attack However, not everyone who has a heart attack develops cardiogenic shock In fact, on average, only about 7 percent of people who have heart attacks develop the condition. The diagnosis of cardiogenic shock can sometimes be made at the bedside by observing hypotension and clinical signs of poor tissue perfusion, which include oliguria, cyanosis, cool extremities, and altered mentation These signs usually persist after attempts have been made to correct hypovolemia, arrhythmia, hypoxia, and acidosis. ** All patients with cardiogenic shock should be cared for in a facility at which right heart
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ShockIntervention - Intervention for Cardiac Shock - Molly...

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