Cardiogenic Shock

mshanrn
Mind Map by mshanrn, updated more than 1 year ago
mshanrn
Created by mshanrn about 6 years ago
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Description

Cardiogenic shock

Resource summary

Cardiogenic Shock
  1. Pump failure resulting in inability of heart to eject sufficient blood to keep tissues/organs oxygenated
    1. Myocardial Injury (acute or progressive)
      1. ▼ Contractility
        1. ▼ Tissue perfusion
          1. Compensatory mechanisms are activated
            1. SNS Stimulation
              1. Renin-angiotensin-aldosterone system
                1. ADH release
                  1. Intracellular fluid shift
                    1. Massive vasoconstriction
                      1. ▼ Perfusion of vital organs
                        1. Multisystem organ failure
                  2. ▼ BP
                    1. ▼ Pulmonary edema
                2. The goal is to fix the following: Preload (if decreased, administer fluids/if increased, administer diuretics), Afterload (if decreased administer vasopressors, if increased administer vasodilators), contractility (Dopamine, IABP, nitro, MS, beta blockers, external pacing)
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