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Cardiogenic Shock Forrester Classification Table and Mortality

- Warm & Dry (Forrester Class I)

- Warm & Wet
Cardiogenic Shock ... Forrester Classification ... Table and Mortality ... Class II) - Cold ... #CHF #Diagnosis
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Diagnosis by Classification ... Anaphylaxis - Spinal cord ... exacerbation (any cause ... Differential #Diagnosis #Classification ... #Table #CriticalCare
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Differential Diagnosis Algorithm ... Artery Disease • Stable ... Interstitium • ILD • CHF ... Differential #Diagnosis #Algorithm ... #Causes
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
nodal blocking agents ... pulmonary disease or CHF ... Treat underlying cause ... Treat underlying cause ... management #cardiology #algorithm
Cold Urticaria
Prevalence - 0.05% in the population
Disease onset - Mostly 2nd to 4th decades of life
Causes
decades of life Causes ... fever, fatigue, Nausea ... , Hypotension, shock ... #rheumatology #comparison ... #table
Intern Pocket Cards - Inpatient Bowel Regimen Guide
Osmotic agents (draws water into bowel, thereby loosening stool
Guide Osmotic agents ... Polyethylene glycol - Nausea ... Senna - Melanosis coli ... #pharmacology #table ... #comparison
Atrial Fibrillation RVR - Medications
Diltiazem
 • Preferred in patients with chronic lung such as Asthma and
as Asthma and COPD ... decompensated CHF ... anyway to improve CHF ... management #treatment #comparison ... #table
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
- Any adverse events ... disease b) CHF ... event, follow ACC algorithm ... Stable patients ... postoperative cardiac events
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
essentially Cardiogenic Shock ... the determined cause ... #differential #algorithm ... cardiology #treatment #table ... #heartfailure #chf
Enteral Feed Formula Selection Guide

A basic guide on how to choose which enteral feed formulations and
Glytrol 1.0 CHF ... Osmolar load can cause ... start slow COPD ... #Formulations #Comparison ... #Table #Pharmacology