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Cardiogenic Shock Forrester Classification Table and Mortality

- Warm & Dry (Forrester Class I)

- Warm & Wet
Cardiogenic Shock ... Classification Table ... Class II) - Cold ... Classification #CHF ... #Diagnosis #Table
Shock Types and Classification
DISTRIBUTIVE 66%
 • Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic
 • Warm
Shock Types and ... and Dry CARDIOGENIC ... 16% • MI, CHF ... and Dry #Shock ... #diagnosis #differential
Shock - Differential Diagnosis Algorithm
Warm Extremities
 - Distributive Shock - Low JVP
Diagnosis Algorithm ... • Neurogenic Cold ... Extremities - Cardiogenic ... #Hypotension #Differential ... #Diagnosis #Algorithm
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
• Most common type ... myxedema, beriberi CARDIOGENIC ... severe pulmonary hypertension ... #diagnosis #management ... #dry #table
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Types - Classification ... - Most common type ... myxedema, beriberi CARDIOGENIC ... severe pulmonary hypertension ... #diagnosis #management
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
and Differential Diagnosis ... Medications, Spinal Cord ... Injury Cardiogenic ... Decompensated CHF ... #Types #criticalcare
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
1) Determine type ... Neurogenic • Cardiogenic ... Arrhythmias / CHB ... #inopressors #diagnosis ... management #comparison #table
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Diagnosis Framework ... Medications, Spinal Cord ... High SVR: • Cardiogenic ... Decompensated CHF ... #criticalcare #algorithm
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
- Differential Diagnosis ... Algorithm Pericardial ... Artery Disease • Stable ... Interstitium • ILD • CHF ... • Pulmonary Hypertension
Pulmonary Arterial Catheterization – Use and Interpretation:
-Pulmonary arterial catheterization (PAC) has never been shown to improve
or the type of ... those with severe cardiogenic ... shock (eg, acute ... pulmonary artery hypertension ... #Differential #Table