2808NRS Human Pathophysiology Cardiogenic Shock Case Study

Verified

Added on  2022/09/14

|22
|420
|15
Case Study
AI Summary
This case study focuses on cardiogenic shock, a critical condition stemming from acute myocardial infarction leading to impaired cardiac output. The assignment analyzes the aetiology and pathophysiology, including myocardial dysfunction, dysrhythmias, and structural abnormalities that result in decreased tissue perfusion and reduced oxygen supply. It details the clinical presentation, including chest pain, tachycardia, and cool extremities, alongside diagnostic indicators. The study explores treatment options like vasopressors, mechanical support, and revascularization, complemented by pharmacological interventions. A concept map illustrates the connections between risk factors, aetiology, pathophysiology, clinical presentation, and treatment, supported by references to relevant medical literature. The study emphasizes the importance of understanding cardiogenic shock for effective healthcare management.
Document Page
Human
Pathophysiology and
Pharmacology
A Case Study
tabler-icon-diamond-filled.svg

Paraphrase This Document

Need a fresh take? Get an instant paraphrase of this document with our AI Paraphraser
Document Page
Cardiogeni
c Shock
CARDIOGENIC SHOCK IS
OBSERVED WHEN HEARTS
GETS DAMAGED DUE TO
LACK OF BLOOD SUPPLY TO
THE ORGANS PRESENT IN
THE BODY,
DEFICIENCY IN NUTRIENT
SUPPLY LEADS TO FALL OF
BLOOD PRESSURE AND
ORGAN FAILURE. CARDIOGENIC SHOCK IS
VERY UNCOMMON AND
SHOULD BE TREATED AFTER
QUICK RECOGNITION.
Document Page
Signs and
Symptoms(Cardioge
nic Shock)
Anxiety Confusion
Profuse sweating
Very low urine output
or completely absent
- Oliguria
Fatigue Shortness of breath
Heart beat is weak
but rapid –
Tachycardia
Chances of patient
experiencing Coma
condition
Document Page
Case
Study
Scenario
Medical history of Erik Selvig indicates suffering
from psoriasis, hypertension, hypertrophic
cardiomyopathy and dysponea condition
Initially several tests and ECG is performed and
it shows Erik has anterior ST-myocardial
infarction with normal blood pressure range.
After three hours there was sudden decrease in
blood pressure, Worsening dysponea condition,
Skin became pale, cool and mottled.
The outcome of diagnosis indicates cardiogenic
shock because of dysfunction of ventricular
pump.
tabler-icon-diamond-filled.svg

Paraphrase This Document

Need a fresh take? Get an instant paraphrase of this document with our AI Paraphraser
Document Page
Diagnosis
ECG was performed and it
revealed anterior ST-
myocardial infarction
Blood pressure initially
found to be normal.
Dyspnoea is identified.
Once dyspnoea got
worsened there is drop in
blood pressure
Erik got diagnosed with
cardiogenic shock due to
dysfunction of ventricular
pump.
Document Page
Risk
factors
Some of the risk factors associated with Erik’s
condition include
Earlier reports suggest that Erik had myocardial
infarction(heart attack).
Build up of plaque in the coronary arteries.
Old age and
High blood pressure
Document Page
Aetiology
Cardiogenic shock is mainly due to heart
attack resulted due to restriction of blood
flow through arteries.
Some of the conditions that cause
Cardiogenic shock include-
Ventricular tachycardia
Ventricular fibrillation
Heart muscle unable to work properly
Pulmonary embolism – Artery blockage
Build up of fluid – Pericardial Tamponade
Overdosage of drugs affects heart to pump blood
leading to Cardiogenic Shock
tabler-icon-diamond-filled.svg

Paraphrase This Document

Need a fresh take? Get an instant paraphrase of this document with our AI Paraphraser
Document Page
General factors
Acute myocardial infarction
Failure of pump
Severe ischemia
Expansion of infarction
Mechanical complications
Rupture of free wall
Pericardial tamponade
Right ventricular infarction
Document Page
Other
conditions
Mitral stenosis
Aortic stenosis
Mitral regurgitation
Myocardial contusion
Myocarditis
End stage cardiomyopathy
Left ventricular filling obstruction
Obstructive cardiomyopathy
Document Page
Examination
General exam:
Hypertrophic cardiopathy
Dysponea
Cool extremities
Vitals:
Anterior ST-myocardial infarction
Blood pressure- 124/73 mg.
3 hours later,
Blood pressure – 76/30 mg
Skin became cool, pale and mottled
Confused personality
Ventricular pump dysfunction
tabler-icon-diamond-filled.svg

Paraphrase This Document

Need a fresh take? Get an instant paraphrase of this document with our AI Paraphraser
Document Page
Pathophysiol
ogy
Due to Acute myocardial infarction it
results in
Myocardial dysfunction, dysrhythmias
or structural abnormalities
Impaired cellular metabolism
Decreased tissue perfusion
Decrease in supply of oxygen supply
Decrease in cardiac output
Decreased stroke volume
Document Page
Causes
Possible chances for causing cardiogenic shock
include
Acute myocardial infarction
Rupture of papillary muscle
Free wall rupture
Systolic failure
chevron_up_icon
1 out of 22
circle_padding
hide_on_mobile
zoom_out_icon
[object Object]