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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 ... CARDIOGENIC 16% • MI, CHF ... #Shock #Types ... #Classification
Shock Classification Types - Comparison Table
JVP, IVC on Ultrasound, Passive Leg Raise, Temperature of extremities, LV
Shock Classification ... Types - Comparison ... Table JVP, IVC ... Obstructive - Dr ... #Types #Comparison
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... • Most common type ... #Classification ... #Types #diagnosis ... #table
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... 1) Determine type ... Arrhythmias / CHB ... underlying etiology Dr ... management #comparison #table
Pediatric SVT - Management Algorithm
Identify SVT:
 • HR not variable
 • Abrupt rate changes
 • Infants:
SVT - Management Algorithm ... Monitors, Pads AP Stable ... Signs of shock or ... 2 J/kg - Dr. ... tachycardia #Management #Algorithm
Summary of Coagulation Deficiencies
Inherited:
 • Hemophilia A - Deficiency of Factor VIII
 • Hemophilia B -
Malabsorption (e.g ... celiac disease, CF ... Acute DIC - Septic shock ... leukemia - Dr ... Deficiencies #Summary #table
Shock - Differential Diagnosis by Classification
Reflex Syncope 
 - Vasovagal syncope
   • Prolonged standing
Shock - Differential ... Diagnosis by Classification ... pseudosyncope Dr ... Differential #Diagnosis #Classification ... #Table #Causes
Non-ACS Myocardial Injury - Elevated Troponin Differential Diagnosis and Workup Algorithm

 • Chronic Myocardial Injury: End
Diagnosis and Workup Algorithm ... Pre-Coronarv): Shock ... Tachycardia-induced HF ... Occlusion • Stable ... CAD Dr.
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 ... indicated • EKG ... Obtain EKG if: ... What is the type