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Cardiogenic shock with resultant multiple organ dysfunction syndrome

Simko, Lynn Coletta PhD, RN, CCRN; Culleiton, Alicia L. DNP, RN, CNE

doi: 10.1097/01.CCN.0000565132.49413.54

Abstract: 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.

Lynn Coletta Simko is an associate professor at Duquesne University School of Nursing, Pittsburg, Pa.

Alicia L. Culleiton is a faculty member at the Ohio Valley Hospital School of Nursing, McKees Rocks, Pa.

The authors have disclosed no financial relationships related to this article.

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