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Cardiogenic Shock Forrester Classification Table and Mortality

- Warm & Dry (Forrester Class I)

- Warm & Wet
Cardiogenic Shock ... Classification Table ... Mortality - Warm & Dry ... II) - Cold & Dry ... Classification #CHF
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
end-organ damage, multisystem ... DISTRIBUTIVE (Warm and Dry ... OBSTRUCTIVE (Cold and Dry ... cold #warm #wet #dry ... #table
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... and etiology of shock ... Arrhythmias / CHB ... underlying etiology Dr ... management #comparison #table
Non-ACS Myocardial Injury - Elevated Troponin Differential Diagnosis and Workup Algorithm

 • Chronic Myocardial Injury: End
Diagnosis and Workup Algorithm ... Pre-Coronarv): Shock ... Tachycardia-induced HF ... Occlusion • Stable ... CAD Dr.
Pediatric SVT - Management Algorithm
Identify SVT:
 • HR not variable
 • Abrupt rate changes
 • Infants:
SVT - Management Algorithm ... Monitors, Pads AP Stable ... Signs of shock or ... 2 J/kg - Dr. ... tachycardia #Management #Algorithm
Summary of Coagulation Deficiencies
Inherited:
 • Hemophilia A - Deficiency of Factor VIII
 • Hemophilia B -
celiac disease, CF ... Acute DIC - Septic shock ... leukemia - Dr ... Deficiencies #Summary #table
Acute Liver Injury - Differential Diagnosis Algorithm

Vascular Causes of Acute Liver Injury: 
 • Hepatic vein:
Differential Diagnosis Algorithm ... syndrome, Congestion/CHF ... Hepatic artery: Shock ... VZV • Trauma: Shock ... cell lung CA, lymphoma
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
essentially Cardiogenic Shock ... “Warm & Dry” is ... #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
metabolic equivalent able ... disease b) CHF ... event, follow ACC algorithm ... Stable patients ... ACEi/ARBs - Hold day