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Cardiogenic Shock Forrester Classification Table and Mortality

- Warm & Dry (Forrester Class I)

- Warm & Wet
Cardiogenic Shock ... Table and Mortality ... II) - Cold & ... Ill) - Cold & ... #CHF #Diagnosis
Shock Types and Classification
DISTRIBUTIVE 66%
 • Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic
 • Warm
Shock Types and ... pancreatitis), GI losses ... and Dry CARDIOGENIC ... 16% • MI, CHF ... #Types #Classification
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
Shock Classification ... Injury Cardiogenic ... Decompensated CHF ... Blood Loss, GI Losses ... Differential #Diagnosis #Types
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... • Most common type ... myxedema, beriberi CARDIOGENIC ... #Classification ... warm #wet #dry #table
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Medications, Spinal Cord ... High SVR: • Cardiogenic ... Decompensated CHF ... Blood Loss, GI Losses ... #criticalcare #algorithm
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
is essentially Cardiogenic ... Shock. ... #differential #algorithm ... cardiology #treatment #table ... #heartfailure #chf
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
disease b) CHF ... ASA class If ... event, follow ACC algorithm ... Risk Stratify Type ... What is the type