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This lesson discusses responding to cardiogenic shock. The primary goal when responding to this type of shock is to restore cardiac contractility. Unlike most other types of shock, fluid resuscitation is not a primary intervention method. Instead, other medications to support and contractility and reduce afterload are first line treatments.

"Since children in cardiogenic shock have a problem with cardiac contractility, the primary goal of therapy is to restore contractility.

Unlike most other types of shock, fluid resuscitation is not a primary intervention in cardiogenic shock. Often medications to support contractility and reduce afterload are first-line treatments.

In normotensive individuals, this means vasodilators and diuretics, which both decrease intravascular volume.

Contractility is supported with inotropes. Milrinone is often used to decrease peripheral vascular resistance.

When additional volume is needed, fluid can be administered slowly and cautiously. Administer 5 to 10 mL/kg over 10 to 20 minutes.

A pediatric cardiologist or critical care specialist should manage individuals with cardiogenic shock."

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