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

Join Us for Gassed Up: Fired Up for CRNA School The CSPA 2026 Conference
June 12th - 14th at the University of Louisville, KY

Ticket and Agenda Information: https://events.crnaschoolprepacademy.com/

Get the Free CRNA School Data Sheet!
Compare every CRNA program’s requirements, deadlines, and interview details—all in one organized spreadsheet. The CRNA School Data Sheet helps you filter programs by ICU experience requirements, GRE, CCRN, last 60 credit GPA, and more so you can build a smarter school list without the confusion.

Access it free here: https://community.crnaschoolprepacademy.com/crna-school-requirements-spreadsheet

Want Guaranteed CRNA School Admission? Learn how CSPA’s Personalized Money-Back Guarantee sets you up for success: https://community.crnaschoolprepacademy.com/6-12-month-intensive

Get access to application & interview preparation resources plus ICU Educational Workshops that have helped thousands of nurses accelerate their CRNA success: https://community.crnaschoolprepacademy.com/join-cspa