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Nursing Care Plan for Cardiogenic Shock
Pathophysiology
Cardiogenic shock is a state in which the organs are not receiving adequate oxygenated blood because of severe pump (heart) failure. It is an acute, sudden, extreme version of heart failure and is a medical emergency.
Etiology
A myocardial infarction can cause cardiogenic shock because the heart muscle cannot pump effectively. Things that obstruct the flow of blood to the body can also cause cardiogenic shock - that includes cardiac tamponade (fluid build up around the heart that compresses it and prevents pumping) and pulmonary embolism (blood clot in the pulmonary arteries that prevent forward flow and prevent oxygenation of the blood).
Desired Outcome
The goal is to reverse the cause and restore sufficient cardiac output to the tissues. The hope would be to prevent any permanent damage from tissue ischemia and to prevent recurrence of cardiogenic shock.
Cardiogenic Shock Nursing Care Plan
Subjective Data:
Crushing Chest Pain
Anxiety or restlessness
Sudden, severe, SOB
Weakness
Nausea
Objective Data:
Evidence of MI or 12-Lead and Cardiac Enzymes
↑ HR
↑ RR
↓ BP
↓SpO2
↓ Temp
↑ CVP
↓ CO
↑ SVR
↓ LOC
↓ Urine output
Skin is cold, pale, possibly dusky or mottled
Pulses rapid and thready
Diaphoretic
JVD
Crackles in lungs
Heart sounds muffled
S3, S4 present
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