Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... β€’ Most common type ... and Dry) β€’ Pulmonary ... #Classification ... #table
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Types - Classification ... and Dry) β€’ Puimonary ... failure from massive pulmonary ... embolism or severe pulmonary ... #Classification
Shock Types and Classification
DISTRIBUTIVE 66%
 β€’ Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic
 β€’ Warm
Shock Types and ... Classification ... β€’ MI, CHF β€’ Cold ... and Dry #Shock ... #Types #Classification
Cardiogenic Shock Forrester Classification Table and Mortality

- Warm & Dry (Forrester Class I)

- Warm & Wet
Cardiogenic Shock ... Table and Mortality ... - Warm & Dry ... Class II) - Cold ... & Dry (Forrester
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   β€’ Trauma
Diagnosis by Classification ... Anaphylaxis - Spinal cord ... flow) - Massive pulmonary ... pneumothorax Dr ... #Table #CriticalCare
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
Pulmonary Arterial Catheterization – Use and Interpretation:
-Pulmonary arterial catheterization (PAC) has never been shown to improve
diagnosis or the type ... of shock remains ... severe cardiogenic shock ... Diagnosis #PACatheter #NormalValues ... #Differential #Table
Shock Classification and Differential Diagnosis
SHOCK
 β€’ MAP <65, SBP <90, drop in SBP > 40
 β€’
Shock Classification ... Medications, Spinal Cord ... , CVP > 12 β€’ Pulmonary ... #Classification ... Differential #Diagnosis #Types
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 β€’ Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... 1) Determine type ... Pericardial tamponade, Pulmonary ... underlying etiology Dr ... management #comparison #table