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학습 자료 둘러보기 →The classic profile for cardiogenic shock includes elevated filling pressures (CVP >6 mmHg, PAWP >12 mmHg), low cardiac output (<4 L/min), and high SVR (> 1200 dynes/sec/cm⁵). This indicates pump failure with volume congestion and compensatory vasoconstriction.
The priority intervention is to administer prescribed inotropic agents (e.g., dobutamine, milrinone) to improve myocardial contractility and increase cardiac output. This directly addresses the underlying pathology of pump failure.
Do not administer additional fluids or place the patient in Trendelenburg. These actions increase preload in an already volume-overloaded heart, which can worsen pulmonary congestion and respiratory failure.
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