Free BCEN Certified Flight Registered Nurse (CFRN) Practice Question

The administration of an inotropic agent like dobutamine is the most effective intervention in this scenario. Dobutamine increases cardiac output by enhancing myocardial contractility and improving stroke volume. This optimizes cardiac perfusion and helps to decrease myocardial workload, which is crucial in managing cardiogenic shock. While defibrillation is essential in life-threatening arrhythmias and fluid administration is critical in hypovolemic shock, they are not as directly effective in improving myocardial perfusion and reducing cardiac workload in cardiogenic shock due to AMI. Administering nitroglycerin primarily affects preload and coronary vasodilation but does not address myocardial contractility as effectively as dobutamine.