17 results
A Non-Invasive approach to Respiratory Failure
 • COPD and Ventilatory Failure → NiPPV with Bi-level Settings
to Respiratory Failure ... • COPD and Ventilatory ... Failure → NiPPV ... Settings • CHF / Pulmonary ... #management #hypoxia
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
cellular and tissue hypoxia ... brain or spinal cord ... CARDIOGENIC (Cold ... OBSTRUCTIVE (Cold ... HYPOVOLEMIC (Cold
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
/Chronic renal failure ... , pain, fever, hypoxia ... Classically” noted with pulmonary ... with associated hypoxia ... lung disease (COPD
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
cellular and tissue hypoxia ... tachycardia, dyspnea, cold ... brain or spinal cord ... beriberi CARDIOGENIC (Cold ... ring OBSTRUCTIVE (Cold
Acute and Chronic Causes of Dyspnea - Differential Diagnosis
Pulmonary/Chest Wall:
 • Acute: Trauma, COPD exacerbation, Asthma
Acute: Trauma, COPD ... Chronic: Asthma, COPD ... : Tumor, Vocal cord ... Chronic: Metabolic acidosis ... (eg, DM, renal failure
Acid Base and Blood Gas Analysis
1. pH - What’s the primary disturbance?
2. pCO2 - What’s the
Respiratory Acidosis ... obstruction • COPD ... alkalosis drive • Hypoxemia ... gap metabolic acidosis ... respiratory #bloodgas #interpretation
Dyspnea - Differential Diagnosis Framework

Cardiovascular Causes of Dyspnea:
 • Myocardium:
	- Heart failure
	- CAD/ACS
	- Valvulopathy
 • Electrical:
	-
Myocardium: - Heart failure ... - Tamponade Pulmonary ... - Asthma - COPD ... Additional: - Acidosis ... diagnosis #causes #pulmonary
Asthma vs COPD Presentation and Diagnosis
Asthma:
 • Epidemiology: Age usually < 45, History (personal or family)
Asthma vs COPD Presentation ... between attacks COPD ... of right heart failure ... Subxiphoid PMI • COPD ... EricsMedicalLectures/ #Asthma #COPD
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
Hypoxemic Respiratory Failure ... direction leads to hypoxemia ... Pneumonia, asthma, COPD ... #Respiratory #Failure ... #hypoxia #Differential
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
In COPD, decreases ... exacerbation (cardiogenic pulmonary ... edema) • COPD ... on chronic resp acidosis ... patients (ie., CHF or COPD