Cardiogenic Shock

Clinical Features:

• 1)Rapid breathing.
• 2)Severe shortness of breath.
• 3)Sudden, rapid heartbeat (tachycardia)
• 4)Loss of consciousness.
• 5)Weak pulse.
• 6)Low blood pressure (hypotension)
• 7)Sweating.
• 8)Pale skin

Investigations:

• 1)ECG
• 2)Echocardiography
• 3)Chest X-ray P/A View
• 4)CBC

Rx:

• Absolute Bed Rest( rise foot end)
  
• High flow o2 inhalation(2-4 L)
  
• Diet-liquid
  
• cardiac monitoring
  
• maintain I/V channel (5% DA)
  

1.Inj. Dopamine 2 amp + 500 ml N/S @ 32 microdrop/min

2. Tab.[post id="860" title="Aspirin"](Carva)(75mg) 4 tab orally stat by crushing Then 0+1+0(after meal)...চলবে

3.cap.[post id="393" title="Pantoprazole"](pantonix) (20mg) 1+0+1(before meal) ...১ মাস

4.Tab.[post id="476" title="Diazepam"](sedil) (5 mg) 0+0+1….1 মাস

Monitor vitals sign following of cardiogenic shock

• ECG
• BP
  
• URINE OUTPUT
  
• Skin temperature
  
• central venous pressure
  
• 02 saturation