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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 Types and Classification
DISTRIBUTIVE 66%
 • Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic
 • Warm
Shock Types and ... Classification ... DISTRIBUTIVE 66% ... CARDIOGENIC 16% • MI, CHF ... and Dry #Shock
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Bedside Classification ... peritoneal, RP) Distributive ... Acute valve dysfunction ... #Classification ... Cardiogenic #Comparison #Table
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... END-ORGAN DYSFUNCTION ... failure, and death DISTRIBUTIVE ... #Classification ... warm #wet #dry #table
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
Shock Classification ... Lactate > 1.5 Distributive ... Medications, Spinal Cord ... Decompensated CHF ... #Classification
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Diagnosis by Classification ... Intractable vomiting Distributive ... Anaphylaxis - Spinal cord ... Differential #Diagnosis #Classification ... #Table #CriticalCare
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Types - Classification ... tachycardia, dyspnea, cold ... END-ORGAN DYSFUNCTION ... failure, and death DISTRIBUTIVE ... #Classification
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
death -> end-organ dysfunction ... Ext: warm vs. cold ... /flank edema) Distributive ... #Classification ... differential #causes #classification
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
death -> end-organ dysfunction ... Ext: warm vs. cold ... /flank edema) Distributive ... #Classification ... differential #causes #classification
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Performance thorough ... disease b) CHF ... with valvular dysfunction ... or LV dysfunction ... Stable patients