A patient is being admitted from the emergency department (ED)with cardiogenic shock secondary to unstable angina unresponsive to medications.The patient was intubated and ventilated in the ED.Which intervention should the nurse prepare to initiate when the practitioner arrives in the unit?
A) Administration of sodium bicarbonate
B) Rapid infusion of crystalloids
C) Insertion of an intraaortic balloon pump (IABP)
D) Insertion of dialysis catheters for continuous renal replacement therapy (CRRT)

Question

Quizplus · Accepted Answer

Mechanical circulatory assist devices are used if adequate tissue perfusion cannot be immediately restored.Options include an intraaortic balloon pump (IABP),a percutaneous ventricular assist device (VAD),or an extracorporeal membrane oxygenator.The IABP is used to decrease myocardial workload by improving myocardial supply and decreasing myocardial demand.It achieves this goal by improving coronary artery perfusion and reducing left ventricular afterload.Sodium bicarbonate,fluids,and dialysis are not indicated in this situation.

A Patient Is Being Admitted from the Emergency Department (ED)with