{"id":3056,"date":"2025-11-10T09:49:53","date_gmt":"2025-11-10T17:49:53","guid":{"rendered":"https:\/\/www.nicolekupchikconsulting.com\/news\/?p=3056"},"modified":"2025-11-10T09:53:32","modified_gmt":"2025-11-10T17:53:32","slug":"lets-talk-about-cardiogenic-shock","status":"publish","type":"post","link":"https:\/\/www.nicolekupchikconsulting.com\/news\/lets-talk-about-cardiogenic-shock\/","title":{"rendered":"Let&#8217;s Talk About Cardiogenic Shock"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong>What are the hallmark signs of a patient going into cardiogenic shock?<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Decreased Cardicac Output<\/li>\n\n\n\n<li>Increased Preload<\/li>\n\n\n\n<li>Increased Afterload<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Essentially, your patient\u2019s heart is not pumping very well!&nbsp; They end up with increased preload and afterload without great cardiac squeeze, pumping against a wall of pressure!&nbsp; This leads to decreased organ perfusion which is very serious.&nbsp; The mortality is 40 &#8211; 60%!<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>What do their hemodynamics look like?<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u2193 CI &lt; 2.0 L\/min\/m<sup>2<\/sup><\/li>\n\n\n\n<li>\u2191 SVR (afterload)\n<ul class=\"wp-block-list\">\n<li>> 1200 dynes\/sec\/cm<sup>-5<\/sup><\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>\u2191 RAP\/CVP (preload)<\/li>\n\n\n\n<li>PAOP > 14 mm Hg<\/li>\n\n\n\n<li>\u2193 SvO<sub>2<\/sub>\n<ul class=\"wp-block-list\">\n<li>SvO<sub>2 <\/sub>&lt; 60 \u2013 65%<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>What are the clinical signs?<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Hypotension (MAP &lt; 60 \u2013 65)<\/li>\n\n\n\n<li>Tachycardia<\/li>\n\n\n\n<li>S<sub>3<\/sub>, pulmonary edema<\/li>\n\n\n\n<li>Crackles<\/li>\n\n\n\n<li>Dysrhythmias<\/li>\n\n\n\n<li>\u2193 perfusion<\/li>\n\n\n\n<li>Poor capillary refill<\/li>\n\n\n\n<li>Skin &amp;\/or knee mottling<\/li>\n\n\n\n<li>\u2193 UOP\n<ul class=\"wp-block-list\">\n<li>Oliguria &lt; 0.5 mL\/kg\/hour<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>What do you do for your patients?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Supportive Treatment:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>**Mechanical circulatory support <\/strong>(i.e.\u00a0 IABP, Impella)<ul><li><strong>Cardiac Power Output (CPO) <\/strong>to guide LV support with MCS<\/li><\/ul>\n<ul class=\"wp-block-list\">\n<li><strong>PAPi <\/strong>for RV support<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Vasopressors\/ + Inotrope<\/li>\n\n\n\n<li>Diuretics (as perfusion allows)<\/li>\n\n\n\n<li>Afterload reduction \/ venous vasodilators (i.e. NTG)<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">If you want more information about cardiogenic shock, consider getting certified in Cardiac Medicine and taking <a href=\"https:\/\/www.nicolekupchikconsulting.com\/booksAndCourses\/online-courses\/123\/cmc-review-course\">Nicole\u2019s Cardiac Medicine Course!<\/a> This course is 30% off until November 11th at midnight. The course offers 8 CE credits and covers the following fundamental cardiac topics:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Hemodynamics<\/li>\n\n\n\n<li>Acute Coronary Syndromes<\/li>\n\n\n\n<li>Heart Failure<\/li>\n\n\n\n<li>Valvular Disease<\/li>\n\n\n\n<li>Arrhythmias\u00a0<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Nicole also offers a great <a href=\"https:\/\/www.nicolekupchikconsulting.com\/booksAndCourses\/online-courses\/15\/cardiac-boot-camp\">Cardiac Boot Camp Course<\/a> that is an excellent course to boost your cardiac skills and knowledge.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">If you want to boost your overall Critical Care knowledge, check out Nicole\u2019s awesome and comprehensive <a href=\"https:\/\/www.nicolekupchikconsulting.com\/booksAndCourses\/books-bundles\/136\/critical-care-survival-guide\">Critical Care Survival Guide!<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">References:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/emedicine.medscape.com\/article\/152191-overview\">Cardiogenic Shock: Practice Essentials, Background, Pathophysiology<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.uptodate.com\/contents\/clinical-manifestations-and-diagnosis-of-cardiogenic-shock-in-acute-myocardial-infarction?search=cardiogenic%20shock&amp;source=search_result&amp;selectedTitle=2~150&amp;usage_type=default&amp;display_rank=2\">Clinical manifestations and diagnosis of cardiogenic shock in acute myocardial infarction &#8211; UpToDate<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.uptodate.com\/contents\/treatment-and-prognosis-of-cardiogenic-shock-complicating-acute-myocardial-infarction?search=cardiogenic%20shock&amp;source=search_result&amp;selectedTitle=1~150&amp;usage_type=default&amp;display_rank=1\">Treatment and prognosis of cardiogenic shock complicating acute myocardial infarction &#8211; UpToDate<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>What are the hallmark signs of a patient going into cardiogenic shock? Essentially, your patient\u2019s heart is not pumping very well!&nbsp; They end up with increased preload and afterload without great cardiac squeeze, pumping against a wall of pressure!&nbsp; This leads to decreased organ perfusion which is very serious.&nbsp; The mortality is 40 &#8211; 60%! [&hellip;]<\/p>\n","protected":false},"author":11,"featured_media":3059,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[46],"tags":[],"ppma_author":[62],"class_list":["post-3056","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-nurse-education"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\r\n<title>Let&#039;s Talk About Cardiogenic Shock - Nicole Kupchik Blog<\/title>\r\n<meta name=\"description\" content=\"What are the hallmark signs of a patient going into cardiogenic shock?\" \/>\r\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\r\n<link rel=\"canonical\" href=\"https:\/\/www.nicolekupchikconsulting.com\/news\/lets-talk-about-cardiogenic-shock\/\" \/>\r\n<meta property=\"og:locale\" content=\"en_US\" \/>\r\n<meta property=\"og:type\" content=\"article\" \/>\r\n<meta property=\"og:title\" content=\"Let&#039;s Talk About Cardiogenic Shock - 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