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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
→ ↓ → →↑ Pulmonary ... VT*RR Minute Ventilation ... A-a Gradient (((FIO ... Tension ((FIO) ... 100-150 mmHg (FIO2
Increased Airway Pressure - Guidelines for Crises in Anaesthesia

Using these steps from start to end should
. ❶Adequate oxygen ... AND give 100% oxygen ... check measured FiO2 ... bag moving OR ventilator ... o Aspiration, pulmonary
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia
Using these steps from start
❶ Adequate oxygen ... AND give 100% oxygen ... check measured FiO2 ... bag moving OR ventilator ... o Aspiration, pulmonary
Community Acquired Pneumonia (CAP) - Diagnosis and Management

Pneumonia Signs/Symptoms:
 • Confusion/disorientation (LR + 1.9)
 • Cough
required mechanical ventilation ... or noninvasive ventilation ... • PaO2/FiO2 ratio ... (LR + 2.1) • Oxygen ... Management #treatment #Pulmonary
Mask Oxygen Delivery Devices

Simple Mask aka Hudson's Mask:
 • Flow 6-10 LPM
 • FiO2 35-50%
Face Tent:
Mask Oxygen Delivery ... small valve to mix oxygen ... increases delivered oxygen ... nickmmark #Mask #Oxygen ... Devices #management #pulmonary
Oxygen Delivery by Device

Nasal Cannula 
• Indicated for low-flow, low-percentage supplemental oxygen. 
• Flow rate of
Oxygen Delivery ... high percentage FiO ... set to desired FiO2 ... deliver desired FiO ... #FiO2 #Pulmonary
Oxygen Delivery Systems
Nasal Cannula:
 • Flow: 1 - 6 L/min
 • FiO2: 25 - 40% (-4%/L
Oxygen Delivery ... - 6 L/min • FiO2 ... - 10 L/min • FiO2 ... rishikumarmd #Oxygen ... devices #management #pulmonary
Oxygen Delivery Systems and Approximate FiO2:
#Management #SupplementalO2 #Oxygen #Delivery #Devices #Interface #FiO2 #NonRebreather #HFNC #NasalCannula #Simple
Oxygen Delivery ... and Approximate FiO2 ... SupplementalO2 #Oxygen ... Devices #Interface #FiO2
Oxygen Delivery Methods
 • Nasal Cannula
 • Nonrebreather Mask
 • Non-Invasive Ventilation (CPAP/BiPAP)
 • Venturi Mask
Oxygen Delivery ... • Non-Invasive Ventilation ... Invasive Mechanical Ventilation ... @DharSaty #Oxygen ... #respiratory #pulmonary
APVcmv - Adaptive Pressure Ventilation - Controlled Mechanical Ventilation Summary
Most Similar to PRVC - Pressure Regulated
Adaptive Pressure Ventilation ... Controlled Mechanical Ventilation ... Volume 3) PEEP 4) FiO2 ... Happening - The ventilator ... #management #pulmonary