Cardiogenic Shock: Clinical Insights with Nicole Kupchik, MN, RN, CCNS, CCRN-CMC, PCCN

In this special episode, Dr. Richard Wilson, DNAP, CRNA sits down with critical care educator Nicole Kupchik to unpack practical bedside considerations for managing cardiogenic shock in ICU patients. From vasopressors to mechanical support, this discussion offers real-world insight into how seasoned clinicians think through this complex condition.

In this episode, we discuss:

• Early signs of cardiogenic shock and why timing matters
• Pros and limitations of Impella, balloon pump, and VA ECMO
• Key hemodynamic markers like CPO and PAPI
• Clinical considerations when using norepinephrine, milrinone, dobutamine, and more
• The balancing act of fluid management in left vs. right ventricular failure

Recorded live at NTI 2025 in New Orleans—expect a more candid format and a touch of background conference buzz.

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