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Cardiogenic Shock Forrester Classification Table and Mortality

- Warm & Dry (Forrester Class I)

- Warm & Wet
Cardiogenic Shock ... Forrester Classification ... I) - Warm & Wet ... Class II) - Cold ... & Wet (Forrester
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... END-ORGAN DYSFUNCTION ... Hemorrhagic → leading ... #Classification ... #warm #wet #dry
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Types - Classification ... END-ORGAN DYSFUNCTION ... and Wet): • Cardiomyopathic ... Hemorrhagic → leading ... #Classification
Shock Types and Classification
DISTRIBUTIVE 66%
 • Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic
 • Warm
Shock Types and ... Classification ... and Wet OBSTRUCTIVE ... and Dry #Shock ... #Types #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 ... and up), dry vs. wet ... #Classification ... 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 ... and up), dry vs. wet ... #Classification ... differential #causes #classification
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
Trans-Pulmonary Gradient ... Diastolic Pulmonary Gradient ... 0.8 indicates RV dysfunction ... 0.63 predicted RV dysfunction ... Direct Fick is the GOLD