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- Administer dopamine 10 mcg/kg/min IV to keep systolic BP > 100 mmHg.
- Ambulate patient t.i.d.
- Administer metoprolol 100 mg po.
- Titrate O2 to keep saturations between 85 and 90%.
Cardiogenic shock is a critical condition in which a patient is in a life-threatening situation. The primary care of the nurse is to prevent the condition from occurring and to manage symptoms to prevent it from worsening if it does develop. A patient in cardiogenic shock would most likely need medications to maintain his blood pressure within normal limits and oxygen to keep saturations greater than 95%. Beta blocker medications, such as metoprolol, may actually cause hypotension and can worsen the patients condition.
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