ALGORITHM FOR CARDIOGENIC SHOCK

Cardiogenic shock occurs due to impaired cardiac output, often resulting from congenital heart defects, myocarditis, or arrhythmias. It requires careful management to avoid fluid overload while improving cardiac function.

Signs of Cardiogenic Shock:

• Tachycardia and weak pulses.
• Hepatomegaly and jugular venous distension.
• Pulmonary edema and respiratory distress.

Management Algorithm:

• Step 1: Provide high-flow oxygen and support ventilation as needed.
• Step 2: Establish vascular access but use cautious fluid resuscitation to avoid exacerbating pulmonary edema.
• Step 3: Administer inotropes (e.g., epinephrine, dopamine) to improve cardiac output.
• Step 4: Address the underlying cause (e.g., manage arrhythmias or repair congenital defects).

Effective management of cardiogenic shock requires balancing fluid therapy and inotropic support to stabilize the patient.