pathology assignment
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Running head: [SHORTENED TITLE UP TO 50 CHARACTERS] 1
Complication Case Study
Kritika Student id – 133986232
Seneca College, King Campus
CCN 108 KAA, Professor Miwa Sakakibara
October 5, 2023
Complication Case Study on cardiogenic shock
[SHORTENED TITLE UP TO 50 CHARACTERS] 2
Cardiogenic shock results from the heart's inability to pump sufficient blood, leading to reduced cardiac output. The main cause is often a myocardial infarction, where the heart muscle is damaged due to inadequate blood supply.
Risk Factors Several risk factors can increase the likelihood of cardiogenic shock, such as age (especially those 75 or older), certain racial or ethnic groups (with Asian Americans and Pacific Islanders at higher risk), sex (potentially more common in women), and underlying heart and vascular problems like coronary heart disease, heart failure, and high blood pressure. Other risk factors include diabetes, obesity, a history of coronary artery bypass grafting (CABG), pneumothorax, and sepsis.
Treatment Treatment aims to improve cardiovascular status and may include oxygen therapy, angioplasty and stenting to open blocked arteries, balloon pumps to assist blood flow, pain control, hemodynamic monitoring, fluid therapy, and various medications like dopamine, dobutamine, norepinephrine, and nitroprusside. In severe cases, surgical options like the intra-aortic balloon pump (IABP) might be considered.
Prognosis and outcomes The prognosis of cardiogenic shock varies, but it is a life-threatening condition. Survival depends
on factors like the underlying cause, how quickly treatment is initiated, and the patient's overall health. Prompt and appropriate medical intervention can improve the chances of recovery.
[SHORTENED TITLE UP TO 50 CHARACTERS] 3
**b. Describe the health assessment findings of pathophysiology for the medical diagnosis chosen**
**1. How does it affect your patient?**
Cardiogenic shock profoundly affects the patient, causing confusion, hypotension, reduced urine output, tachycardia, rapid shallow breathing, and cyanosis due to poor tissue perfusion.
**2. What pathophysiologic symptoms by systems of health assessment?**
Cardiogenic shock leads to systemic issues. For example, it results in cognitive impairment due to inadequate oxygenated blood reaching the brain, kidney dysfunction from reduced renal perfusion, lung congestion leading to respiratory distress, and inadequate oxygenation, and can also cause liver dysfunction, gastrointestinal symptoms, and skin issues like clammy or cyanotic skin.
**c. Appraise the nursing actions/interventions from a pathophysiologic perspective**
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[SHORTENED TITLE UP TO 50 CHARACTERS] 4
**a. What are the priorities of care with rationale**
Nursing priorities for patients with cardiogenic shock include managing decreased cardiac output
to address the root problem, maintaining hemodynamic stability through interventions like administering vasoactive medications, and optimizing gas exchange to ensure adequate oxygen delivery.
**b. What interventions are appropriate?**
Appropriate interventions include closely monitoring vital signs, assessing cardiac, respiratory, and neurological status, and measuring urine output to gauge renal perfusion. Furthermore, managing fluid balance and medications to support cardiac function is crucial.
**c. What evidence do you have or need to find to support these actions?**
Nursing actions should be based on evidence-based practices and guidelines. Research and clinical experience contribute to the selection of appropriate interventions
[SHORTENED TITLE UP TO 50 CHARACTERS] 5
The success of nursing interventions can be assessed through the improvement in vital signs, cardiac output, gas exchange, and renal function. Evaluation is an ongoing process, and the patient's response to treatment guides further actions.
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