Cardiogenic Shock

UNCONTROLLED WHEN PRINTED

Quick Chart

Introduction

Read the complete article; Shock in the Medical Library > Pathophysiology.

Clinical Presentation

Exclusion Criteria

Risk Assessment

Do not administer IV saline with pulmonary oedema unless the patient is symptomatic from hypotension. In this scenario careful titration of fluid is needed.
Do not try to suction any more than necessary to maintain clear airway as fluid will be continuously flowing
Beware of sudden cardiac arrest

Management

Primary Care

Primary Survey
Ensure patient is positioned sitting or semi-recumbent (BP permitting)
Consider suction; (note: Do not suction pulmonary oedema fluid away any more than is essential to clear airway, as it will keep producing).
Consider Oxygen
Vital Sign Survey
Consider Secondary/CNS Survey to identify other causes of shock

Intermediate Care (EMT / Level 2)

Apply cardiac monitor if trained and authorised.
If IV in situ, maintenance fluid TKVO only.
Monitor patient persistently, recording full observations every 10 minutes (or 5 minutes if time critical)
Transport Priority 1 if patient time critical, pre-notifying receiving facility

Advanced Care (AP)

Apply cardiac monitor; manage Acute Coronary Syndrome if indicated
Establish vascular access
Consider fluid therapy
Monitor patient persistently, recording full observations every 10 minutes (or 5 minutes if time critical)
Transport Priority 1 if patient time critical, pre-notifying receiving facility

Critical & Extended Care (CCP, PSO)

Additional Information

References

Key Terms & Links

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Directorate

Clinical Services

Responsible Manager

Head of Clinical Services

Published Date

Review Date