PEEP SHOW – ‘CARDIOGENIC SHOCK’

CARDIOGENIC SHOCK (summary)
.
  • Confirm the diagnosis during the initial resuscitation phase.
  • Rule out mechanical defects (with US) and correct any reversible conditions.
  • Optimise pre-load, contractility and afterload by:
    • correction of hypovolaemia (especially if right ventricle affected),
    • use of vasodilators (where tolerated) and,
    • commencing inotropes (taking care to limit any detrimental increase in heart rate).
  • Decide early if transfer is required to offer; revascularisation, surgical intervention or access to balloon counter-pulsation.

Today’s brain teaser:

What is the topic for this week’s blog? …Did you guys all work it out? 

To learn more about cardiogenic shock see this week’s OXY’s LOG…

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