13 results
Hypoxemia / Hypoxia - Rapid Response Management Algorithm

Stridor - Upper airway pathology:
 • Anaphylaxis
 • Foreign
Rapid Response Management ... pneumothorax, COPD ... asthma • Pleural disease ... 12 / shallow breathing ... Hypoventilation: • CNS
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
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Hypoventilation: CNS ... of Respiratory ... Hypoventilation Syndrome ... Hepatopulmonary Syndrome ... #Hypoxia #hypoxemia
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
Interstitial lung diseases ... direction leads to hypoxemia ... Pneumonia, asthma, COPD ... hepatopulmonary syndrome ... #Failure #hypoxia
Platypnea-Orthodeoxia Syndrome on Physical Exam
The case of a patient with a diagnosis of cirrhosis and platypnea-orthodeoxia
positional dyspnea and hypoxemia ... observe how the respiratory ... #PhysicalExam # ... clinical #video #breathing ... #respiratory #pulmonary
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
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
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
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