02.16 Cardiogenic Shock for CCRN Review
Included In This Lesson
Study Tools For 02.16 Cardiogenic Shock for CCRN Review
Outline
Nursing Points
General
- Cardiogenic Shock
- Cause
- MI
- CHF
- Arrhythmia
- Cardiac tamponade
- Papillary muscle rupture
- Assessment
- Confusion
- Increased respirations
- Increased HR
- Venous distention
- Low BP
- Decreased urine output
- Low PCWP
- Treatment -> Intra-aortic balloon pump (IABP)
- Deflate during systole
- Inflate during diastole
- Purpose
- Decrease afterload and heart’s demand for oxygen
- Increase perfusion of heart and cardiac output
- Do not use with…
- Aortic insufficiency (valve too weak for balloon)
- PVD
- Complications
- Loss of blood flow to limb
- Aortic dissection
- Infection
- Interventions
- Keep bed flat (<15 degrees)
- Monitor pulses
- Check for bleeding
- Cause
CCRN Review (Critical Care Certification Review)
This course is a review for the CCRN exam. Experienced critical care nurses that meet the testing criteria can use this course to review key concepts for their CCRN exam, which is a certification for critical care nurses. Criteria to test includes having 1,750 hours in direct bedside care of acutely and/or critically ill patients during the last 2 years (prior to the exam). 875 hours need to be worked in the year prior to your application.