Question

what is the pathophysciology, Medications, signs and symptoms, Labs/diagnosis and nursing intervention of Cardiogenic shock and Septic shock

Answer 1

Ans :- Cardiogenic shock:

Pathophysiology - this occurs due to ischemia of heart which causes remodeling of heart muscles so heart not able to effectively pump the blood and peripheral tissue ischemia occur.

Medication :- IV fluid administration

Inotropic drugs - dopamine,dobutamine, norepinephrine

Sign and symptoms - Dyspnoea, tachycardia, loss of consciousness, weak pulse, mental alternative, tachycardia,arrhythmi, heart block

Lab diagnosis - systolic BP <90mm of hg for >30 min

Cardiac index - <2.2l/min

SEPTIC SHOCK-

Pathophysiology - whenever there is a strong infection present this cause bacterimia in body these bacteria secret lots of lipopolysaccarides which cause systemic inflammatory response syndrome that further leads to multiple organ failure and septic shock

Medication - IV crystilloid fluid

Norepinephrine

Corticosteroids

Sign and symptoms - shivering, pain, cold, pale skin, confused, reduced urination, mental confusion

Lab diagnosis :- procalcitonin increased

CRP increased

Serum Creatinine and BUN level increased