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Cardiogenic Shock Forrester Classification Table and Mortality

- Warm & Dry (Forrester Class I)

- Warm & Wet
Table and Mortality ... Class II) - Cold ... Class Ill) - Cold ... #CHF #Diagnosis ... #Table #Cardiology
Shock Types and Classification
DISTRIBUTIVE 66%
 • Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic
 • Warm
Shock Types and ... Classification ... CARDIOGENIC 16% • MI, CHF ... #Classification ... #diagnosis #differential
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... • Most common type ... gastrointestinal bleeding ... #Types #diagnosis ... warm #wet #dry #table
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Types - Classification ... - Most common type ... gastrointestinal bleeding ... water #Shock #Classification ... #types #diagnosis
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
Shock Classification ... and Differential Diagnosis ... Medications, Spinal Cord ... Decompensated CHF ... #Types #criticalcare
Hypersensitivity Types and Their Mechanisms
Type I - lgE - Soluble antigen
 - Allergen-specific lgE antibodies bind
Hypersensitivity Types ... cellular antigen, leading ... #Classification ... Pathophysiology #Allergy #Diagnosis ... #Reactions #Table
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
- Differential Diagnosis ... Algorithm Pericardial ... Artery Disease • Stable ... Interstitium • ILD • CHF ... #Algorithm #Causes
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
1) Determine type ... Arrhythmias / CHB ... • Hypovolemic: Bleeding ... #inopressors #diagnosis ... management #comparison #table
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
disease b) CHF ... event, follow ACC algorithm ... - what is the bleeding ... What is the type ... stratification #diagnosis
Cryofibrinogenemia Summary

Cryofibrinogenemia Epidemiology:
 • 40-70 years with a modest female predominance

Cryofibrinogenemia:
 • The precipitation of a
- Albumin - Cold ... Paradoxical spontaneous bleeding ... Divided Into Two Types ... Cryofibrinogenemia Diagnosis ... Cryofibrinogenemia #diagnosis