Cardiogenic shock is failure of the heart to pump adequately results in reducing cardiac output and compromising tissue perfusion. The treatment is focused to maintain tissue oxygenation and perfusion and improve the pumping ability of the heart.
Signs and Symptoms:
- Hypotension
- Urine output less than 30 mL/hour
- Poor peripheral pulses
- Cold, clammy skin
- Pulmonary congestion
- Tachycardia
- Chest discomfort
- Disorientation, restlessness, and confusion
Nursing Intervention:
- Administer morphine sulfate intravenously as prescribed to decrease pulmonary congestion and relieve pain
- Administer oxygen as prescribed
- Intubation and mechanical ventilation if needed
- Administer diuretic and nitrates as prescribed
- Prepare for insertion of intraaortic balloon pump, PTCA or coronary artery bypass graft if prescribed
- Monitor arterial blood gas levels
- Monitor urinary output
- Monitor distal pulses
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