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CCRN Review
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02.16 Cardiogenic Shock for CCRN Review

02.16 Cardiogenic Shock for CCRN Review

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Laura Gasparis Vonfrolio
PhD,RN,CCRN
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Study Tools For 02.16 Cardiogenic Shock for CCRN Review

Shock (Cheatsheet)
Cardiogenic Shock Pathochart (Cheatsheet)
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Outline

Nursing Points

General

  1. Cardiogenic Shock
    1. Cause
      1. MI
      2. CHF
      3. Arrhythmia
      4. Cardiac tamponade
      5. Papillary muscle rupture
    2. Assessment
      1. Confusion
      2. Increased respirations
      3. Increased HR
      4. Venous distention
      5. Low BP
      6. Decreased urine output
      7. Low PCWP
    3. Treatment -> Intra-aortic balloon pump (IABP)
      1. Deflate during systole
      2. Inflate during diastole
      3. Purpose
        1. Decrease afterload and heart’s demand for oxygen
        2. Increase perfusion of heart and cardiac output
      4. Do not use with…
        1. Aortic insufficiency (valve too weak for balloon)
        2. PVD
      5. Complications
        1. Loss of blood flow to limb
        2. Aortic dissection
        3. Infection
      6. Interventions
        1. Keep bed flat (<15 degrees)
        2. Monitor pulses
        3. Check for bleeding
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CCRN Review

Concepts Covered:

  • Cardiovascular
  • Emergency Care of the Cardiac Patient
  • Cardiac Disorders
  • Circulatory System
  • Shock
  • Shock
  • Disorders of the Posterior Pituitary Gland
  • Endocrine
  • Disorders of Pancreas
  • Hematology
  • Gastrointestinal
  • Upper GI Disorders
  • Liver & Gallbladder Disorders
  • Newborn Complications
  • Multisystem
  • Neurological
  • Nervous System
  • Central Nervous System Disorders – Brain
  • Renal
  • Respiratory
  • Urinary System
  • Respiratory System
  • Noninfectious Respiratory Disorder
  • Immunological Disorders
  • Emergency Care of the Neurological Patient
  • Microbiology
  • Emergency Care of the Trauma Patient
  • Medication Administration
  • Respiratory Emergencies

Study Plan Lessons

01.01 CCRN Test Overview for CCRN Review
02.01 Hypertensive Crisis for CCRN Review
02.02 Cardiomyopathy for CCRN Review
02.03 Swan-Ganz Catheters for CCRN Review
02.04 Pulmonary Artery Wedge Pressure (PAWP) for CCRN Review
02.05 Calculating PAWP on PEEP for CCRN Review
02.12 Myocardial Infarction- Inferior Wall for CCRN Review
02.13 Myocardial Infarction – Anterior Septal Wall for CCRN Review
02.14 Shock Stages for CCRN Review
02.15 Hypovolemic Shock for CCRN Review
02.16 Cardiogenic Shock for CCRN Review
02.17 Septic Shock for CCRN Review
02.18 Cardiovascular Practice Questions for CCRN Review
03.01 Syndrome of Inappropriate Antidiuretic hormone (SIADH) for CCRN Review
03.02 Diabetes Insipidus for CCRN Review
03.03 Hypoglycemia for CCRN Review
03.04 DKA vs HHNK for CCRN Review
04.01 Hematology for CCRN Review
04.02 Hematology Review Questions for CCRN Review
05.01 Pancreatitis and Large Bowel Obstruction for CCRN Review
05.02 Liver Overview and Disease for CCRN Review
05.03 Jaundice for CCRN Review
05.04 Ruptured Spleen for CCRN Review
06.01 Organ Failure, Dysfunction & Trauma for CCRN Review
06.02 Poisoning for CCRN Review
06.03 Multi-System CCRN Important Points for CCRN Review
07.01 CVA (Cerebrovascular Accident/Stroke) for CCRN Review
07.02 Neuro Anatomy for CCRN Review
07.03 Uncal Herniation for CCRN Review
07.04 Supratentorial Herniation and Glasgow Coma Scale for CCRN Review
07.05 Supratentorial Herniation: Cushings Triad for CCRN Review
07.06 Increased Intracranial Pressure (ICP) for CCRN Review
07.07 Cerebral Perfusion Pressure for CCRN Review
07.08 Basilar Skull Fracture for CCRN Review
07.09 Meningitis for CCRN Review
07.10 Neurologic Review questions for CCRN Review
09.01 Acute Renal Failure Overview for CCRN Review
09.02 Acute Tubular Necrosis for CCRN Review
09.03 Acute Renal (Pre-Renal vs Renal) Failure for CCRN Review
09.04 Continuous Renal Replacement Therapy for CCRN Review
09.05 Chronic Renal Failure for CCRN Review
09.06 Renal Practice Questions for CCRN Review
10.01 Arterial Blood Gas (ABG) Interpretation for CCRN Review
10.02 Breath Sounds for CCRN Review
10.03 Acute Respiratory Failure for CCRN Review
10.04 Pulmonary Question Review for CCRN Review
Cardiogenic Shock For PCCN for Progressive Care Certified Nurse (PCCN)
Cardiomyopathies (Dilated, Hypertrophic, Restrictive) for Progressive Care Certified Nurse (PCCN)
Envenomation Emergencies for Certified Emergency Nursing (CEN)
Increased Intracranial Pressure (ICP) for Certified Emergency Nursing (CEN)
Infection or Inflammation? The Quick & Dirty on CBCs – Live Tutoring Archive
Infection or Inflammation? The Quick & Dirty on CBCs 2 – Live Tutoring Archive
Injection Injuries for Certified Emergency Nursing (CEN)
Mannitol (Osmitrol) Nursing Considerations
Nursing Care Plan (NCP) for Migraines
Respiratory Depression (Medication-Induced, Decreased-LOC-Induced) for Progressive Care Certified Nurse (PCCN)
Respiratory Failure (Acute, Chronic, Failure to Wean) for Progressive Care Certified Nurse (PCCN)
Shock Module Intro
Toxic Ingestion, Inhalation, Overdose for Progressive Care Certified Nurse (PCCN)