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Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock
Published on: June 12, 2021
Understanding cardiogenic shock: a nursing approach to improve outcomes
1Lita Warise, EdD, MSN, FNP-C, is an assistant professor in the School of Nursing at WKU. Dr Warise concurrently works part time as a family nurse practitioner in a community-based clinic. Dr Warise currently teaches in the prelicensure program, currently teaching didactic and clinical medical-surgical nursing I, and simulation laboratory. Dr Warise is an active member of the American Association of Nurse Practitioners, American Nurses Association, Kentucky Nurses Association, Tennessee Nurses Association, Sigma Theta Tau International, and the American Association for University Professors. Her research interests include critical care nursing, medical-surgical nursing, obesity, and health promotion across the lifespan. She received her AAS (1996), BSN (2002), and MSN with an emphasis in Nursing Education (2003) from Union University. Dr Warise received her doctorate in education in Leadership and Professional Practice (EdD) from Trevecca Nazarene University (2007). Dr Warise also has a post-master's certificate as a family nurse practitioner (2012) from the University of Alabama at Huntsville. Prior to WKU, Dr Warise taught at Middle Tennessee State University as a tenured associate professor with concentrations in critical care nursing, medical-surgical nursing, pathophysiology, health assessment, and nursing fundamentals. Dr Warise is recognized by the National League for Nursing as a Certified Nurse Educator (CNE) and holds a Certificate as a Certified Case Manager (CCM).
Insights
This article explains cardiac shock following myocardial infarction. It details the pathophysiology, diagnosis, therapy, and nursing care for this critical condition, emphasizing impaired cellular metabolism due to poor oxygen delivery.
Area of Science:
- Cardiology
- Physiology
- Pathology
Background:
- Shock is a frequent complication of cardiac hospitalization after myocardial infarction.
- Inadequate cardiac pumping function causes reduced tissue perfusion and initiates the shock response.
- Shock, regardless of cause, results in widespread cellular metabolism impairment.
Purpose of the Study:
- To present a clinical case study of cardiac shock.
- To explore precipitating factors, pathophysiology, diagnosis, and therapy.
- To discuss nursing implications for managing shock post-myocardial infarction.
Main Methods:
- Review of a clinical case study.
- Analysis of pathophysiology related to inadequate tissue oxygenation.
- Discussion of diagnostic and therapeutic strategies.
Main Results:
- Shock leads to anaerobic metabolism and impaired cellular function.
- Tissue dysfunction and necrosis are consequences of prolonged shock.
- Effective management requires understanding precipitating factors and pathophysiology.
Conclusions:
- Cardiac shock is a critical state of impaired cellular metabolism.
- Prompt diagnosis and appropriate therapy are essential for patient outcomes.
- Nursing care plays a vital role in managing patients with shock.
Abstract:
Shock is a common complication associated with cardiac hospitalization post-myocardial infarction. Although shock is considered a physiologic response rather than a disease state, the lack of adequate pumping function leads to decreased tissue perfusion and initiation of the general shock response. Regardless of the etiology, the effects of shock are the same. Shock is essentially a widespread impairment of cellular metabolism, specifically, resulting from anaerobic metabolism related to inadequate tissue oxygenation leading to tissue dysfunction and necrosis. The purpose of this article is based on an actual clinical case study, precipitating factors, pathophysiology, common medical diagnosis and therapy, and nursing implications.
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