The cardiac catheterization lab patient

    You have received a patient from the cardiac catheterization lab after an early morning emergent presentation for an acute myocardial infarction. The patient has an intra-aortic balloon pump indwelling, and the cardiologist placed a pulmonary artery catheter for hemodynamic monitoring. The patient is experiencing cardiogenic shock. Explain the treatment for suppressed cardiac output, suppressed cardiac index, and altered systemic vascular resistance. Recommend possible environmental and nutritional interventions for treating the patient. Recognize that the patient received emergent stenting and still requires bypass graphing once stabilized.