Following a massive myocardial infarction, the patient develops cardiogenic shock. The patient's family asks the nurse what the patient's chances of survival are. What information does the nurse consider when formulating a response to these concerns?
1. Cardiogenic shock is the major reason people die after having an MI.
2. Even though many people develop cardiogenic shock, the majority survive without residual effects.
3. Cardiogenic shock is the most lethal type of shock.
4. As long as the patient does not develop septic shock, survival is probable.
5. Cardiogenic shock results from pump failure.
1,3,5
Rationale 1: The leading cause of death from MI is cardiogenic shock.
Rationale 2: Cardiogenic shock has a 70% to 90% mortality rate.
Rationale 3: Cardiogenic shock is the most lethal form of shock.
Rationale 4: The risk of death from cardiogenic shock is independent from the development of septic shock.
Rationale 5: Cardiogenic shock develops when the heart cannot pump blood well enough to support the health of body tissues.
Global Rationale: The leading cause of death from MI is cardiogenic shock. Cardiogenic shock is the most lethal form of shock. Cardiogenic shock develops when the heart cannot pump blood well enough to support the health of body tissues. Cardiogenic shock has a 70% to 90% mortality rate. The risk of death from cardiogenic shock is independent from the development of septic shock.
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