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Epinephrine (Adrenalin) drip.
⮚ Cardiogenic shock is characterized by low cardiac output with elevated preload, as reflected by the increased pulmonary artery wedge pressure (PAWP).
⮚ Epinephrine provides strong β₁-adrenergic stimulation, which increases myocardial contractility and heart rate, directly improving cardiac output.
⮚ Its α-adrenergic effects also support systemic vascular resistance, helping maintain blood pressure in the setting of shock.
⮚ Initiating an epinephrine drip addresses the primary pathophysiologic problem—pump failure, making it an appropriate anticipated order.
This question is from NUR 4338 Complex Human Needs SN FA25 which contains 86 questions.
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