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Cardiogenic Shock Forrester Classification Table and Mortality

- Warm & Dry (Forrester Class I)

- Warm & Wet
Table and Mortality ... - Warm & Dry ... II) - Cold & ... Dry (Forrester Class ... Ill) - Cold &
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... END-ORGAN DYSFUNCTION ... water #Shock #Classification ... #warm #wet #dry ... #table
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Preoperative Risk Evaluation ... Performance thorough ... ASA class If ... or LV dysfunction ... day of surgery
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
renal tubular dysfunction ... bones syndrome Dr ... Low #Magnesium #Table ... #Classification ... #Causes #Workup
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 ... shins and up), dry ... #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 ... shins and up), dry ... #differential #causes ... #classification
TABLE 2. Irritable bowel syndrome (IBS) sub-classifications
lBS-diarrhoea (IBS-D)
 - >25% loose or watery stools; <25% hard
TABLE 2. ... syndrome (IBS) sub-classifications ... of incomplete evacuation ... throughout the day ... Subclassifications #Classes
Hepatorenal Syndrome (HRS)

Definition:
• Functional, potentially reversible kidney impairment.
• Occurs in advanced liver disease: cirrhosis, severe alcoholic
Exclude other AKI causes ... Classification: ... albumin (1 g/kg/day ... • Urine sodium could ... liver transplant evaluation
Social Anxiety Disorder (SAD) - Pathophysiology 
Excessive fear of one or more social situations
 • Safety
negative self evaluations ... Unrealistic Standards of Performance ... shortness of breath, dry ... throat, hot or cold ... flashes, headaches