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Cardiogenic Shock Forrester Classification Table and Mortality

- Warm & Dry (Forrester Class I)

- Warm & Wet
Table and Mortality ... - Warm & Dry ... I) - Warm & Wet ... Class II) - Cold ... Class Ill) - Cold
Shock Types and Classification
DISTRIBUTIVE 66%
 • Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic
 • Warm
failure, toxins, spinal ... overdiuresis • Cold ... • MI, CHF • Cold ... and Wet OBSTRUCTIVE ... tamponade • Cold
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
cord injury • ... CARDIOGENIC (Cold ... OBSTRUCTIVE (Cold ... HYPOVOLEMIC (Cold ... #warm #wet #dry
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia
Focal Hyporeflexia: 
 • Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Reflex Testing - ... cord injury Generalized ... cord injury, Early ... Late ALS - Dr ... differential #diagnosis #table
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
tachycardia, dyspnea, cold ... cord injury • ... beriberi CARDIOGENIC (Cold ... ring OBSTRUCTIVE (Cold ... cardiomyopathy HYPOVOLEMIC (Cold
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
Cardiac Stress Testing ... • They must be able ... pts with severe COPD ... and asthma • Inotropes ... Nuclear SPECT ($$$), PET
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Differential Diagnosis by Classification ... Anaphylaxis - Spinal ... cord trauma (a.k.a ... pneumothorax Dr ... #Table #CriticalCare
LABA/ICS Combination Inhalers
Long-Acting Beta2 Agonists (LABA) + Inhaled Corticosteroid (ICS) - Commonly used in Asthma 
Advair
available - 3 Dry ... quick breath to get ... of a patients COPD ... posts for the COPD ... treatment algorithm
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... Ext: warm vs. cold ... shins and up), dry ... vs. wet (dependent ... failure, neurogenic/spinal
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... Ext: warm vs. cold ... shins and up), dry ... vs. wet (dependent ... failure, neurogenic/spinal