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Cardiogenic ShockAka: Acute Pulmonary Edema Management, Congestive Heart Failure Exacerbation Management
- See Also
- Indications
- Acute Pulmonary Edema secondary to CHF exacerbation
- Management: Initial
- Furosemide (Lasix) 0.5 to 1.0 mg/kg IV
- Morphine 2 to 4 mg IV
- Nitroglycerin 0.4 mg SL
- Oxygen (with advanced airway management as needed)
- Management: Next
- Systolic Blood Pressure over 100 mmHg
- Nitroglycerin 10 to 20 ug/min IV
- Consider Nitroprusside 0.1 to 5.0 ug/kg/min IV
- Consider Dobutamine 2 to 20 ug/kg/min IV if no shock
- Consider Nesiritide (Natrecor) in refractory cases
- Systolic Blood Pressure 70 to 100 mmHg
- Dopamine 5 to 15 ug/kg/min IV
- Systolic Blood Pressure over 100 mmHg
- Management: Additional Options
- Pulmonary artery catheter
- Intra-aortic balloon pump
- Coronary angiogram
- Prognosis
- References
- Ryan (2001) CMEA Internal Medicine Lecture, San Diego
- (2000) Circulation 102(suppl I):I
Shock, Cardiogenic (C0036980) | |
|---|---|
| Definition (MSH) | Shock resulting from diminution of cardiac output in heart disease. |
| Definition (CSP) | shock reulting from the failure of the heart to maintain adequate output. |
| Definition (NCI) | Shock resulting from primary failure of the heart in its pumping function, as in myocardial infarction, severe cardiomyopathy, or mechanical obstruction or compression of the heart. |
| Definition (NCI) | Shock resulting from primary failure of the heart in its pumping function, as in myocardial infarction, severe cardiomyopathy, or mechanical obstruction or compression of the heart. |
| Concepts | Pathologic Function (T046) |
| ICD9 | 785.51 |
| MSH | D012770 |
| English | cardiocirculatory collapse, Cardiogenic Shock, SHOCK CARDIOGENIC |
| Spanish | choque cardiogeno, shock cardiogeno |
| Parent Concepts | hypotension and shock (C0679394), Circulatory system disease NOS (C0728936), Shock (C0036974), heart output disorder (C0596677), [D]Shock without mention of trauma NOS (C0159051), Myocardial Infarction (C0027051), Cardiovascular Diseases (C0007222), Duplicate concept (C1274013) |
| Sources | AOD, CSP, CST, DXP, ICD9CM, LCH, MSH, NCI, NDFRT, SCTSPA, SNOMEDCT Derived from the NIH UMLS (Unified Medical Language System) |
Acute congestive heart failure (C0264719) | |
|---|---|
| Concepts | Disease or Syndrome (T047) |
| English | Acute congestive heart failure |
| Spanish | fallo cardiaco congestivo agudo, insuficiencia cardiaca congestiva aguda |
| Parent Concepts | Congestive heart failure (C0018802), Acute heart failure (C0264714), Duplicate concept (C1274013) |
| Sources | SCTSPA, SNOMEDCT Derived from the NIH UMLS (Unified Medical Language System) |
Acute cardiac pulmonary edema (C0398350) | |
|---|---|
| Concepts | Disease or Syndrome (T047) |
| English | Acute cardiac pulmonary edema, Acute cardiac pulmonary oedema, Acute cardiogenic pulmonary edema, Acute cardiogenic pulmonary oedema, Cardiogenic pulmonary edema, Cardiogenic pulmonary oedema |
| Spanish | edema pulmonar agudo por causa cardiaca, edema pulmonar cardiogenico |
| Parent Concepts | Acute pulmonary edema unspecified (C0155919), Ambiguous concept (C1274012) |
| Sources | SCTSPA, SNOMEDCT Derived from the NIH UMLS (Unified Medical Language System) |
