A 50-year-old woman is admitted to ICU post-cardiac surgery with a low cardiac output state. She is on noradrenaline 0.1 mcg/kg/min and adrenaline 0.1...

Question

A 50-year-old woman is admitted to ICU post-cardiac surgery with a low cardiac output state. She is on noradrenaline 0.1 mcg/kg/min and adrenaline 0.15 mcg/kg/min. A pulmonary artery catheter is in situ. Readings: CVP 14 mmHg, PCWP 22 mmHg, cardiac index 1.8 L/min/m2, SVR 1800 dyn·s/cm5. MAP is 62 mmHg. What is the most likely haemodynamic diagnosis?

Accepted Answer

Cardiogenic shock

Answer

Distributive shock

Answer

Hypovolaemic shock

Answer

Obstructive shock (cardiac tamponade)

Answer

Neurogenic shock

uk-fficm MCQ (SBA): Cardiogenic Shock