2019•Nursing Critical CareRequires access

Cardiogenic shock with resultant multiple organ dysfunction syndrome

Lynn Coletta Simko, Alicia L. Culleiton

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Abstract

In Brief The prognosis for a patient with multiple organ dysfunction syndrome (MODS)—also known as organ dysfunction or organ failure—is grave, and mortality can be high when three or more organ systems fail. This article reviews ongoing abnormalities of organ-specific parameters and a bedside clinical scoring assessment tool to identify the mortality of MODS. This article focuses on the management of MODS resulting from cardiogenic shock in ICU patients who require support of failing organs to survive. Multiple organ dysfunction syndrome (MODS) is a grave diagnosis for patients because of the high mortality associated with this condition. Clinicians can use the Sequential Organ Failure Assessment to identify mortality in patients with MODS. Treatment for patients with this syndrome is often supportive.

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What this paper is about

In Brief The prognosis for a patient with multiple organ dysfunction syndrome (MODS)—also known as organ dysfunction or organ failure—is grave, and mortality can be high when three or more organ systems fail. This article reviews ongoing abnormalities of organ-specific parameters and a bedside clinical scoring assessment tool to identify the mortality of MODS. This article focuses on the management of MODS resulting from cardiogenic shock in ICU patients who require support of failing organs to survive. Multiple organ dysfunction syndrome (MODS) is a grave diagnosis for patients because of the high mortality associated with this condition. Clinicians can use the Sequential Organ Failure Assessment to identify mortality in patients with MODS. Treatment for patients with this syndrome is often supportive.

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Available abstract

In Brief The prognosis for a patient with multiple organ dysfunction syndrome (MODS)—also known as organ dysfunction or organ failure—is grave, and mortality can be high when three or more organ systems fail. This article reviews ongoing abnormalities of organ-specific parameters and a bedside clinical scoring assessment tool to identify the mortality of MODS. This article focuses on the management of MODS resulting from cardiogenic shock in ICU patients who require support of failing organs to survive. Multiple organ dysfunction syndrome (MODS) is a grave diagnosis for patients because of the high mortality associated with this condition. Clinicians can use the Sequential Organ Failure Assessment to identify mortality in patients with MODS. Treatment for patients with this syndrome is often supportive.

Key concepts: Multiple organ dysfunction syndrome, Organ dysfunction, Cardiogenic shock, Medicine, Intensive care medicine, Organ system, Shock (circulatory), Internal medicine

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