This is a paper that is focusing on the Patient With Cardiogenic Shock case study overview. The paper also provides additional information to use in the writing of the assignment paper. Below is the assessment description to follow:
Patient With Cardiogenic Shock case study overview
Instructions:
Please complete the following case study: Chapter 66 :: Patient With Cardiogenic Shock and submit your assignment here by the due date December 3rd 1159pm.
Answer each objective thoroughly below in your own words, you will receive a zero for copy and also pasting
Cite all references. References must be from a Medical Surgical Nursing Textbook
Please reply by evaluating 1 other students’ post; what you learned from the post, identify important facts or key issues or add additional relative information
Overview
Shock is a syndrome characterize by decreased tissue perfusion and impaired cellular metabolism. Resulting in an imbalance between the supply of and demand for oxygen and nutrients. Cardiogenic shock occurs when dysfunction of the myocardium, caused by a variety of precipitating factors, results in severely compromised cardiac output. The clinical manifestations of cardiogenic shock initially mimic those of acute decompensated heart failure. However, the symptoms increase in severity as the patient progresses through the shock continuum from the initial stage to the final (irreversible) stage.
Prompt intervention in the early stages of shock may prevent the decline to the progressive or refractory stage. Interventions to treat cardiogenic shock are at improving oxygenation and perfusion while preventing organ dysfunction. Drug and also surgical therapies may be to treat these patients.
Case Study
L V is a 68-year-old male admitted to the coronary care unit 24 hours ago with an anteroseptal myocardial infarction (MI). His past medical history includes two other MIs within the last 5 years, obesity, hypertension, hyperlipidemia, and sleep apnea. L.V. had chest pain at home for 12 hours before seeking medical treatment. Lab results note troponin I at 5.2 ng/mL.
L.V. is currently pain free with stable VS. The heart monitor shows sinus rhythm with occasional, unifocal premature ventricular contractions and a heart rate (HR) in the 90s. His blood pressure (BP) is 130/70, respiratory rate (RR) is 24 breaths/minute and O2 saturation is 93% on O2 via nasal cannula at 2 L/min. He has a heparin drip infusing at 1200 U/hr and IV nitroglycerin infusing at 20 mcg/min. You are to care for L.V. as part of a two-patient assignment.
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