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Causes of Hypoxemia- Differential Diagnosis Algorithm Ventilation/perfusion Mismatch • Airway Disease (Asthma, COPD) • Vascular (PE*) •
Causes of Hypoxemia ... Atelectasis Central Hypoventilation ... • Obesity Hypoventilation ... Abnormalities #Hypoxemia ... #Hypoxia #Differential
Hypoxemia Differential Diagnosis Algorithm by A-a Gradient Normal A-a Gradient: • ↓ Atmospheric pressure • Hypoventilation: CNS
Hypoxemia Differential ... Atmospheric pressure • Hypoventilation ... MatthewHoMD #Hypoxemia ... #Hypoxia #Differential
CAPNOGRAPHY Provides a measure of ventilation – or concentration of CO2 exhaled air (aka end tidal
Apnea or hypoventilation ... oxygen deficiency (hypoxia ... detect Apnea or hypoventilation ... #curarecleft #hypoventilation ... #hyperventilation
Acute Hypoxemia - Differential Diagnosis • Hyperacute: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Acute Hypoxemia ... Hemorrhage • Hypoventilation ... Sophia_Hayes_MD #Hypoxemia ... #hypoxia #Differential
Hypoxemic Respiratory Failure - Differential Diagnosis Framework DECREASED INSPIRED OXYGEN • Low PATM Can decrease first part
Hypoxemic Respiratory ... Mount Everest) HYPOVENTILATION ... sedatives, obesity-hypoventilation ... common cause of hypoxemic ... direction leads to hypoxemia
Medications for High-Altitude Sickness Acetazolarnide • Carbonic Anydrase Inhibitor Bicarb diuresis & metabolic Acidosis ->
> compensatory hyperventilation ... • Improves hypoxemia ... • Improves hypoxemia
Hypoxemia / Hypoxia - Rapid Response Management Algorithm Stridor - Upper airway pathology: • Anaphylaxis • Foreign
Hypoxemia / Hypoxia ... shallow breathing - Hypoventilation ... Sophia_Hayes_MD #Hypoxemia ... #Hypoxia #differential
Hypoxemia and Dyspnea - Rapid Response Management 1) Ask for vitals en route 2) Stabilize: Nasal canula 3)
Hypoxemia and Dyspnea ... Management 1) Ask ... Diagnose using hypoxemia ... NatalieRosen_MD #Hypoxemia ... criticalcare #pulmonary #Hypoxia
Approach to the A-a Gradient A-a gradient = PAO2 - PaO2 A-a gradient = [FiO2 x (Patm -
Gradient • Alveolar Hypoventilation ... Center, Obesity Hypoventilation ... arterial #pulmonary #Hypoxia ... #hypoxemia #differential
Hyperacute Hypoxemia - Workup and Management Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Hyperacute Hypoxemia ... edema), Lung Exam, POCUS ... #Hyperacute #Hypoxemia ... #Hypoxia #Workup
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