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diagnosis differential hypoxemia treatment aa abnormal abnormalities acid acidbase algorithm anesthesia anesthesiology arterial base bloodgas bronchiectasis checklist cyanosis disorders failure
Hypoxemia / Hypoxia - Rapid Response Management Algorithm Stridor - Upper airway pathology: • Anaphylaxis • Foreign
Rapid Response Management ... Blood: diffuse alveolar ... asthma • Pleural disease ... 12 / shallow breathing ... Hypoventilation: • CNS
Approach to the A-a Gradient A-a gradient = PAO2 - PaO2 A-a gradient = [FiO2 x (Patm -
Hypoventilation: CNS ... Hypoventilation Syndrome ... Hepatopulmonary Syndrome ... #AA #Gradient #alveolar ... #Hypoxia #hypoxemia
Hypoxemic Respiratory Failure - Differential Diagnosis Framework DECREASED INSPIRED OXYGEN • Low PATM Can decrease first part
obesity-hypoventilation syndrome ... Interstitial lung diseases ... direction leads to hypoxemia ... Pneumonia, asthma, COPD ... hepatopulmonary syndrome
Acid Base Disorders - Blood Gas Interpretation Steps for Blood Gas Interpretation: 1. Acidemia or Alkalemia? 2.
D-lactate (short bowel syndrome ... Classically” noted with pulmonary ... acidosis: - CNS ... restrictive lung disease ... (COPD, OSA, Asthma
Abnormalities in Rate and Rhythm of Breathing Normal The respiratory rate is about 14—20 per min
consider infarction, hypoxia ... hyperventilation syndrome—a ... bronchitis, and COPD ... #Pulmonary #Abnormalities ... Abnormal #Diagnosis #PhysicalExam
Ventilator Troubleshooting Summary High PIP, nl Pplat: - DDx: Tubing problem, Bronchospasm, Secretions - Next Steps: Check
Obstructive lung disease ... Bronchodilators/Steroids Hypoxemia ... - Next Steps: Bag ... Troubleshooting #diagnosis #management ... #pulmonary #mechanical
Bronchiectasis - Summary What? • Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
Chronic cough • Hypoxia ... Connective tissue diseases ... obstruction • COPD ... • Mounier-Kuhn syndrome ... , in advanced disease
Hepatopulmonary Syndrome - Diagnosis and Management Summary A defect in arterial oxygenation due to a gas exchange
Hepatopulmonary Syndrome ... upright position • Hypoxemia ... Quantifies degree of hypoxemia ... cirrhosis • Intra-pulmonary ... hepatopulmonary #syndrome
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
life-threatening diseases ... Inflammatory eye disease ... recent DAN) • EMG/NCS ... leading to diffuse alveolar ... differential #diagnosis #management
Sjogren's Syndrome Overview Epidemiology: • F > M: 9:1 • 5-6th Decades (can be any age) Autoimmune exocrinopathy multisystemic disease
nervous system (CNS ... • 8%-27% for CNS ... : • 10%-15% Pulmonary ... , INC risk PE, Pulmonary ... Rheumatology #Diagnosis #Management
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