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diagnosis management criticalcare differential pulmonary algorithm pathophysiology interpretation acidosis anesthesiology capnography causes comparison hfnc respiratory workup acidbase anesthesia asterixis bipap
Central Venous Oxygen Saturation (cvO2%) to monitor cardiac output - Fick Equation #Diagnosis #Fick #Equation #CVO2 #CardiacOutput
Oxygen Saturation (cvO2% ... Fick #Equation #CVO2 ... #CardiacOutput
Perform computations online at: ScyMed.com 6th ED ICU-card «ICU, Formulas & Drugs» HEMODYNAMIC PATTERNS Condition SAP CVP PAP PCWP CO C(a-v)02 PVR SVR Hypovolemic shock ↓ ↓ ↓ ↓ ↓ ↑ ↑ ↑ Cardiogenic shock ↓ 1 ↑ 1 1 ↑ Septic shock ↓ ↓ ↓ ↓ ↑ ↓ ↓ ↓ Cardiac Tamponade . ↑ ↑ 1 ↓ → ↑ RV
min/m2 HR*SV VO2 ... /Ca-vO2 (fick) ... )/(Ccap02-CvOz)) ... +(Pa2*0.0031) CvO2 ... mL/dL (CaO2)-(CvO2
Hypoxia and Hypoxemia - Overview Hypoxia - insufficient oxygen delivered to tissues to meet demands Hypoxemia - low
arterial blood CaO2 ... output) - Low SvO2 ... MetHb) - Low CaO2 ... → Low SvO2 → Low ... High PaO2, High SvO2
Right Heart Catheterization Cheat Sheet: Interpretation of Pressures and Waveforms Direct measurements ● Central venous pressure
oxyhemoglobin saturation (SvO2 ... Oxygen uptake (VO2 ... conc x [SaO2 – SvO2
Acid-Base Disorders - Differential Diagnosis Algorithm Acidemia (pH < 7.35) • Metabolic Acidosis (HCO3 < 24mmol/L) CO2
HCO3 < 24mmol/L) CO2 ... HCO3 > 28mmol/L) CO2
Capnography Measurement of exhaled carbon dioxide can be used to confirm ETT placement, for safer procedural sedation,
PETCO2 - End-tidal CO2 ... PACO2 - Alveolar CO2 ... - Mixed venous CO2 ... PaCO2 - Arterial CO2
Cushing's Reflex - Pathophysiology HYPERTENSION with a reflex BRADYCARDIA → ↑ ICP → ↓ CBF →
→ ↑ Cerebral [CO2
Intracranial Hemorrhage (ICH) and Increased Intracranial Pressure (ICP) - Pathophysiology ICH Management: 1. Manage Blood Pressure •
ICP Physiology: CO2 ... : • Low CO2 = ... CPP) • High CO2
CAPNOGRAPHY Provides a measure of ventilation – or concentration of CO2 exhaled air (aka end tidal
concentration of CO2 ... (aka end tidal CO2
Fluid Responsiveness and Fluid Tolerance Testing - OnePager Summary Fluid resuscitation can be beneficial when required or
O2 Saturation (SvO2 ... An increase in SvO2 ... • END TIDAL CO2 ... increases delivery of CO2 ... increasing exhaled CO2
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