Cardiogenic Shock Case Study

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Cardiogenic Shock Case Study Mrs. Settles, a 50-year-old woman, came to the Emergency department (ED) at 0630 with a 2-hour history of crushing chest pain radiation to the jaw, back and subxiphoid ar... ea. She was mildly diaphoretic and slightly short of breath, and she complained of nausea. Her lungs had bibasilar crackles on auscultation Heart sounds revealed the presence of an S3 heart sound without murmurs. The initial chest x-ray film showed no abnormalities. Her initial vital signs were as follows: HR 124 BP 156/98 RR 30 T 37 oC (98.6 oF) Mrs. Settles had a history of stable angina for an undetermined period. However, she revealed that for the past 3 weeks, she had experienced substernal pain radiating to her back every hour. Chest pain was relieved with sublingual nitroglycerin (NGT). There is a family history of a brother dying from a myocardial infarction (MI) and a sister with a history of three MIs. Mrs. Settles had a 30-year history of cigarette smoking and continued to smoke one pack of cigarettes a day. She has been taking the following medications: [Show More]

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