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Lactic Acidosis - Overview and Pathophysiology Lactic acid is an endogenous substrate for gluconeogenesis, that is constantly
TYPE A: Impaired O2 ... Delivery (DO2) ... • Decreased O2 ... Utilization (VO2 ... by Mark Ramzy, DO
Oxygen Delivery Equation DO2 = CO x {(1.39 x Hb x sO2) + (PaO2 x 0.03)} DO2 =
Delivery Equation DO2 ... {(1.39 x Hb x sO2 ... (PaO2 x 0.03)} DO2 ... normally 1.39 ml/g sO2 ... capacity of blood (DO₂
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) ... mixed venous O2 ... Extraction Rate DO2 ... Oxygen Delivery DO2
DO2 Equation in Shock = Oxygen Delivery DO2 = CO x (1.39 x [Hb] x SaO2 +(0.003xPaO2)) DO2
DO2 Equation in ... Oxygen Delivery DO2 ... (0.003xPaO2)) DO2 ... @Thind888 #DO2
Lactic Acidosis - Differential Diagnosis Framework Type A: Impaired O2 Delivery (DO2) • Decreased O2 Delivery: Hypotension
Type A: Impaired O2 ... Delivery (DO2) ... • Decreased O2 ... • Increased O2 ... Utilization (VO2
Telescoping Fingers on Physical Exam A 69-year-old woman with rheumatoid arthritis presented for the treatment of severe
//www.nejm.org/doi ... RheumatoidArthritis #Clinical #Video
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 Argyll-Robertson Pupil on Physical Exam Small (myotic), irregular pupil that do not react to light but do
irregular pupil that do ... react to light but do ... PhysicalExam #clinical #video
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 Intracranial Hemorrhage (ICH) and Increased Intracranial Pressure (ICP) - Pathophysiology ICH Management: 1. Manage Blood Pressure •
, pre-ox (goal O2 ... ICP Physiology: CO2 ... : • Low CO2 = ... CPP) • High CO2 ... = raises ICP O2
Demonstrating Rostral Venous Flow of Caput Medusae in Portal Hypertension We do the milking method as depicted
Hypertension We do ... depicted in the video ... abdominal #clinical #video
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 Severe Tricuspid Regurgitation on JVP Examination What information about the patient do we get from this #JVP
about the patient do ... PhysicalExam #Clinical #Video
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