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Cardiogenic Shock Forrester Classification Table and Mortality

- Warm & Dry (Forrester Class I)

- Warm & Wet
Cardiogenic Shock ... Forrester Classification ... Table and Mortality ... #Classification ... #CHF #Diagnosis
Shock Types and Classification
DISTRIBUTIVE 66%
 • Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic
 • Warm
Shock Types and ... pancreatitis), GI losses ... Cold and Dry CARDIOGENIC ... 16% • MI, CHF ... #Types #Classification
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
Shock Classification ... Spinal Cord Injury Cardiogenic ... Decompensated CHF ... Blood Loss, GI Losses ... Differential #Diagnosis #Types
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
1) Determine type ... Neurogenic • Cardiogenic ... Arrhythmias / CHB ... inopressors #diagnosis #management ... #comparison #table
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
High SVR: • Cardiogenic ... Decompensated CHF ... Blood Loss, GI Losses ... #criticalcare #algorithm ... #treatment #management
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 ... #management #cold ... warm #wet #dry #table
Type 2 Diabetes - Screening, Diagnosis and Management Algorithm
Lifestyle  Modifications (Diet and Exercise) -> Start
Type 2 Diabetes ... Diagnosis and Management ... Algorithm Lifestyle ... #algorithm #DM2 ... #DMII #Classification
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Shock. ... #differential #algorithm ... #management #cardiology ... #treatment #table ... #heartfailure #chf
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
exclude other causes ... May have typical HF ... Minority of Pts: cardiogenic ... shock and severe ... Delivery • Stable
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 type ... medical and surgical management