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Cardiogenic shock is based upon an inadequate circulation of blood due to primar y failure of the ventricles of the heart to function effectively. Positive inotropic agents, which enhance the heart's pumping capacity, are used to improve the contractility and correct the hypotension. Intravenous do utamine, wh ich acts on b1 receptors of the heart leading to increased contractility and heart rate.
Cardiogenic shock is based upon an inadequate circulation of blood due to primar y failure of the ventricles of the heart to function effectively. Positive inotropic agents, which enhance the heart's pumping capacity, are used to improve the contractility and correct the hypotension. Intravenous do utamine, wh ich acts on b1 receptors of the heart leading to increased contractility and heart rate.
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Cardiogenic shock is based upon an inadequate circulation of blood due to primar y failure of the ventricles of the heart to function effectively. Positive inotropic agents, which enhance the heart's pumping capacity, are used to improve the contractility and correct the hypotension. Intravenous do utamine, wh ich acts on b1 receptors of the heart leading to increased contractility and heart rate.
Copyright:
Attribution Non-Commercial (BY-NC)
Formati disponibili
Scarica in formato TXT, PDF, TXT o leggi online su Scribd
Cardiogenic shock is based upon an inadequate circulation of blood due to primar
y failure of the ventricles of the heart to function effectively Diagnosis Electrocardiogram Radiology Swan-ganz catheter Biopsy Treatment In cardiogenic shock: depending on the type of myocardal infarct ion one can infuse fluids or in shock refractory to infusing fluids inotropica. In case of cardiac arrhythmia several anti-arrhythmic agents may be administered , i.e. adenosine, verapamil, amiodarone, β- locker or glucagon. Positive inotropic agents, which enhance the heart's pumping capa ilities, are used to improve the contractility and correct the hypotension. Should that not suffice an intra-aor tic alloon pump (which reduces workload for the heart, and improves perfusion o f the coronary arteries) can e considered or a left ventricular assist device ( which augments the pump-function of the heart). Cardiogenic shock may e treated with intravenous do utamine, wh ich acts on β1 receptors of the heart leading to increased contractility and heart rate. NURSING MANAGEMENT: Nursing Intervention: • Administer morphine sulfate intravenously as prescri ed to decrease pulm onary congestion and relieve pain • Administer oxygen as prescri ed • Intu ation and mechanical ventilation if needed • Administer diuretic and nitrates as prescri ed • Prepare for insertion of intraaortic alloon pump, PTCA or coronary arte ry ypass graft if prescri ed • Monitor arterial lood gas levels • Monitor urinary output • Monitor distal pulses MEDICAL MANAGEMENT: PERICARDITIS Treatment pericardiocentesis ▪ anti iotics ▪ steroids ▪ colchicine ▪ surgery ▪ ▪ Nursing Interventions for patients with pericarditis: ▪ Assess and monitor vital signs and heart sound. ▪ Administer pain medication to treat malaise and other flulike symptoms a s prescri ed. ▪ Administer NSAIDs as prescri ed. ▪ Give patient time for rest. ▪ Assess and monitor the signs of decreases cardiac output. ▪ Comfort patient: increased fluids, rest periods, and distraction techniq ue. ▪ Teach patient to adhere to medication schedules. ▪ Guide patient to adopt ways to modify lifestyle especially to conserves energy and reduce fatique during acute episode of illness. ▪ Teach patient how to recognize signs of recurrence: chest pain, malaise, and fever. ▪ ▪ HEART FAILURE - is generally defined as ina ility of the heart to supply sufficient lood flow to meet the ody's needs.[1][2][3] It has various diagnos tic criteria, and the term heart failure is often incorrectly used to descri e o ther cardiac-related illnesses, such as myocardial infarction (heart attack) or cardiac arrest. ▪ Nursing Mangement: ▪ ▪ MYOCARDITIS - inflammation of heart muscle (myocardium). It resem les a heart attack ut coronary arteries are not locked. ▪ DIAGNOSIS: ▪ a. ECG ▪ . Biopsy ▪ c. Cardiac MRI ▪ d. Cardiac Enzyme level ▪ e. Echocardiography ▪ f. Chest Radiography ▪ NURSING MANAGEMENT: ▪ a. Monitor respiratory rater, depth, and ease of respiration. ▪ . Note pattern of respiration ▪ c. Auscultate reath sounds noting decreased or a sence of sounds, crack les or wheezes. ▪ d. Monitor presence of pain and provide pain medication as for needed. ▪ MEDICAL MANAGEMENT: ▪ ▪ ENDOCARDITIS - is an inflammation of the inner layer of the heart, the e ndocardium. Infective endocarditis is a form of endocarditis caused y infectious agents. Th e agents are usually acterial, ut other organisms can also e responsi le. DIAGNOSIS: a. Echocardiography Nursing Management: a. Patient education and self-care Medical Management: a. Drug Therapy or Medication . Diet and Fluid intake