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학습 자료 둘러보기 →The classic profile of cardiogenic shock is a combination of elevated filling pressures (CVP, PAWP) and a low cardiac output (CO). A CVP of 18 mmHg and PAWP of 22 mmHg indicate severe pulmonary congestion, while a CO of 3.2 L/min signifies pump failure and hypoperfusion.
The priority intervention is immediate physician notification to obtain orders for inotropic support (e.g., dobutamine). The primary goal is to improve myocardial contractility, not to diurese or increase afterload. Invasive hemodynamic data is critical for phenotyping shock and guiding therapy.
Do not administer diuretics for the elevated pressures alone; this can further reduce preload and cardiac output in a failing heart. Avoid vasopressors as first-line agents, as they increase afterload and myocardial oxygen demand.
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