Cardiogenic Shock

Hypotension caused by primary pump failure eg post MI, arrhythmia..
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ABCDE assessment
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Call for senior help
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Urgent investigations – ECG/CXR/ABG/FBC/U&Es/Echo (on-call cardio)
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Pulmonary oedema?
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Present? Consider…
IV 50mg furosemide
GTN infusion
CPAP
Absent? Consider…
Fluid challenge eg 250ml stat of colloid

Patient will likely require transfer to HDU/CCU/ICU for further management including inotropic support.

Ensure senior medical advice is sought.

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