Medical Surgical Critical Care Shock #5

Question

A client is admitted to the unit with cardiogenic shock from a heart attack. After receiving health care provider orders, which intervention medications will the nurse anticipate preparing? Select all that apply.

Answers

  1. Dopamine
    • Rationale:

      This answer is correct because dopamine improves heart contractility and the choice for hypotensive clients in cardiogenic shock. The goal of treatment of cardiogenic shock would be to restore heart function as well as blood pressure quickly.

  2. Digoxin
    • Rationale:

      This answer is correct because digoxin “digs” for a deeper contraction and is a cardiac glycoside. The goal of treatment of cardiogenic shock would be to restore heart function as well as blood pressure quickly.

  3. Diphenhydramine
    • Rationale:

      This answer is not correct because diphenhydramine is an antihistamine and is used in the treatment of anaphylactic shock only after epinephrine.

  4. Daunorubicin
    • Rationale:

      This answer is not correct because daunorubicin is an anthracycline used to treat cancer. It helps slow or stop the cancer cell growth. The adverse effect of this medication is heart damage. It is definitely not used as treatment for cardiogenic shock.

  5. Dexamethasone
    • Rationale:

      This answer is not correct because although dexamethasone is a steroid and useful in relieving swelling, pain, redness, etc. It is not a priority treatment used in cardiogenic shock.

Overview

In cardiogenic shock, the heart fails to pump effectively enough to supply the body’s needs. Cardiogenic shock can be caused from a heart attack or myocardial infarction.

Explanation

Learning Outcomes

In cardiogenic shock, the heart fails to pump effectively enough to supply the body’s needs. Cardiogenic shock can be caused from a heart attack or myocardial infarction. The goal of treatment would be to restore heart function as well as blood pressure quickly. Medication interventions used to treat cardiogenic shock may include dopamine and digoxin. Both are positive inotropic meds that cause the heart to generate more forceful beats. Dopamine improves heart contractility and the choice for hypotensive clients. Digoxin “digs” for a deeper contraction and is a cardiac glycoside.

Test Taking Tip

Know the intervention priority medications used in cardiogenic shock.

Video Rationale