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. Join the Free CSPA Community! Connect with a network of Aspiring CRNAs, Nurse Anesthesia Residents, practicing CRNAs and CRNA Program Faculty Mentors here: https://www.cspaedu.com/community   FREE! CRNA School Interview Prep Guide: https://www.cspaedu.com/uc9a5ih4   Get access to application & interview preparation resources plus ICU Educational Workshops that have helped thousands of nurses accelerate their CRNA success. Become a member of CRNA School Prep Academy: https://cspaedu.com/join   Want Guaranteed CRNA School Admission? Learn More about the CSPA 12-Month Intensive Here: https://www.cspaedu.com/meblfkto