الفهرس 
Aknowledgement
Nursing InterventionsOnly 14 pages are availabe for public view
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Abstract
Summary
Cardiogenic shock is a condition in which your heart suddenly can’t pump enough blood to meet your body’s needs.
Risk factors for in patient development of cardiogenic shock are Increased age (elderly), Left ventricular ejection fraction, Large myocardial infraction, Previous myocardial infraction, Presence of chronic disease (diabetes mellitus, hypertension), Hemodynamic instability.
Patients with CS most commonly present with cool extremities and signs Cardiogenic shock signs and symptoms include: Rapid breathing, Severe shortness of breath, Sudden, rapid heartbeat (tachycardia), Loss of consciousness, Weak pulse, Low blood pressure (hypotension), Sweating, Pale skin, Cold hands or feet .
Nursing care for patient with cardiogenic shock, assess the patient’s respiratory rate rhythm and depth, assess Patient heart rate and blood pressure, assess for any signs of changes in the level of consciousness, assess for cyanosis or pallor by examining the skin, nail beds and mucous membranes, Monitor oxygen saturation using pulse oximetry, Monitor arterial blood gasses, assist the client when coughing and suction the client when needed, Administrator oxygen as ordered Prepare the client for mechanical ventilation if oxygen therapy is ineffective.
Research Design: The quasi-experimental
Aim of study:
This study was evaluated effect of implementing standard nursing care on patient’s outcomes regarding cardiogenic shock.
Setting:
The study was conducted in the coronary care unit at Assiut university hospital and Orman university hospital .
Sample of study:
Sample consisted of 60 adult patients was assigned in tow groups
1- Control group (30) patient.
2- Study group (30) patient.
Instrumentation and tool:
Two tools were designed and used by the researcher for collecting data of the study.
Tool I: patient demographic and medical data.
This tool was developed by the researchers after a review of the literature to assess the patient condition to form baseline data to be compared with this tool compromised of two parts.
Part (1): Assessment of demographic data of patients that included: the patient’s code, names, age, sex, level of education, marital status, and occupation.
Part (2): Assessment of patient’s clinical data that include: the medical diagnosis, past and present history and date of admission.
Tool 2: patient’s outcomes assessment sheet.
This tool was developed by the researcher based on the literature review. This tool consists of six parts.
Part (1): Hemodynamic status which included: Respiratory system (rate of respiration, spo2), cardiovascular system (heart rate, systolic and diastolic blood pressure), temperature (hypothermia or hyperthermia, arterial blood gases, and fluid intake and output.
Part (2): Neurological status by using Glasgow coma scales which included: Eye-opening response, best verbal response, and motor response.
Part (3): Assessment of oxygenation tool included: O2 (types, concentration, way, intuition date, and removal date), a manifestation of hypoxia, cyanosis, apnea.
Part (4): Occurrence of complications: Hemodynamic instability, respiratory system disorder, cardiovascular system disorder, acute kidney injury, and multisystem organ failure.
Part (5): Stay in CCU: Length of stay.
Part (6): Assessment of discharge criteria included: patient discharge after patient improvement (to home, to department), discharge as patient order or death.
Conclusion:
The standard nursing care has a great effect on the outcomes of a patient with cardiogenic shock.
Recommendation:
This study recommended the applying of standard nursing care for all patients with cardiogenic shock in all the coronary care units of different hospitals.
The Main Result:
Regarding to mortality rate of the study sample the finding of the current study revealed that there was significant difference between two group increases in the control groups.