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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 ... & Dry (Forrester ... #CHF #Diagnosis
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 ... #Types #Classification
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... • Most common type ... myxedema, beriberi CARDIOGENIC ... #Classification ... #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 ... #Classification ... #types #diagnosis
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
Shock Classification ... Medications, Spinal Cord ... Injury Cardiogenic ... Decompensated CHF ... Differential #Diagnosis #Types
Shock Classification Types - Comparison Table
JVP, IVC on Ultrasound, Passive Leg Raise, Temperature of extremities, LV
Shock Classification ... Types - Comparison ... Table JVP, IVC ... Hypovolemic Distributive Cardiogenic ... Obstructive - Dr
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Diagnosis by Classification ... Anaphylaxis - Spinal cord ... ) Cardiogenic ( ... pneumothorax Dr ... #Table #CriticalCare
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
1) Determine type ... Neurogenic • Cardiogenic ... Arrhythmias / CHB ... underlying etiology Dr ... management #comparison #table
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
is 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 ... event, follow ACC algorithm ... Risk Stratify Type ... What is the type ... day of surgery