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Cardiogenic Shock Forrester Classification Table and Mortality

- Warm & Dry (Forrester Class I)

- Warm & Wet
Cardiogenic Shock ... Table and Mortality ... - Warm & Dry ... II) - Cold & Dry ... #CHF #Diagnosis
Shock Types and Classification
DISTRIBUTIVE 66%
 • Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic
 • Warm
Shock Types and ... Classification ... pancreatitis), GI losses ... CARDIOGENIC 16% • MI, CHF ... #Shock #Types
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... • Most common type ... gastrointestinal bleeding ... #Classification ... #table
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
1) Determine type ... Arrhythmias / CHB ... • Hypovolemic: Bleeding ... underlying etiology Dr ... management #comparison #table
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
causing hypovolemia needing ... essentially Cardiogenic Shock ... #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
disease b) CHF ... ASA class If ... event, follow ACC algorithm ... - what is the bleeding ... What is the type