What is Cardiogenic Shock and how to care for it (Nursing Care Plan)

See more lessons and download free Nursing School cheatsheets at NURSING.com https://www.nursing.com/?utm_medium=e... 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 Visit us at https://nursing.com/medical-disclaime... disclaimer information. NCLEX®, NCLEX-RN® are registered trademarks of the National Council of State Boards of Nursing, INC. and hold no affiliation with NURSING.