Nursing Interventions for Cardiogenic Shock
September 6, 2010 | In: Nursing Interventions
Nursing Interventions: Cardiogenic Shock
- Administer oxygen by face mask or artificial airway to ensure adequate oxygenation of tissues.
- Adjust the oxygen flow rate to higher or lower level, as blood gas measurements indicate.
- Administer an osmotic diuretic, such as mannitol, if ordered to increase renal blood flow and urine output.
- Never flex the patient’s “ballooned” leg at the hip because this may displace or fracture catheter.
- To ease emotional stress, allow frequent rest periods as possible.
- Allow family members to visit and comfort the patient as much as possible.
- Monitor and record blood pressure, pulse, respiratory rate, and peripheral pulse every 1 to 5 minutes until the patient stabilizes.
- Record hemodynamic pressure readings every 15 minutes.
- Monitor ABG values, complete blood count, and electrolyte levels.
- During therapy assess skin color and temperature and note any changes. Cold and clammy skin may be a sign of continuing peripheral vascular constriction, indicating progressive shock.