Cardiogenic shock
ICD-10 R57.0 is a billable code used to indicate a diagnosis of cardiogenic shock.
Cardiogenic shock is a critical condition characterized by the heart's inability to pump sufficient blood to meet the body's needs, leading to inadequate tissue perfusion and oxygenation. This condition often arises from severe heart failure, myocardial infarction, or other cardiac dysfunctions. Clinically, patients may present with symptoms such as hypotension, tachycardia, cold and clammy skin, altered mental status, and oliguria. Laboratory findings may include elevated cardiac biomarkers (e.g., troponin), metabolic acidosis, and electrolyte imbalances. The diagnosis of cardiogenic shock is typically made based on clinical presentation, hemodynamic monitoring, and imaging studies such as echocardiography to assess cardiac function. Early recognition and intervention are crucial to improve outcomes, as cardiogenic shock can rapidly progress to multi-organ failure if not treated promptly.
Detailed documentation of patient history, physical examination findings, and lab results is essential. Include specific symptoms and any interventions performed.
Patients presenting with chest pain, dyspnea, and signs of heart failure.
Ensure that the underlying cause of cardiogenic shock is clearly documented to support the diagnosis.
Acute care documentation must include vital signs, initial assessment findings, and any immediate interventions such as fluid resuscitation or medications administered.
Patients arriving in the emergency department with acute myocardial infarction and signs of shock.
Rapid assessment and documentation are critical; ensure that all interventions are recorded to justify the diagnosis.
Used to assess cardiac function in patients suspected of cardiogenic shock.
Document the indication for the ECG and any findings.
Ensure that the ECG findings correlate with the diagnosis of cardiogenic shock.
Key symptoms include hypotension, tachycardia, cold and clammy skin, altered mental status, and oliguria.
Diagnosis is based on clinical presentation, hemodynamic monitoring, and imaging studies such as echocardiography.
