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diagnosis clinical management echocardiogram checklist differential ultrasound anesthesia anesthesiology cardiology intraoperative pulmonary workup lung pericardial pleural complex tamponade cardiac classification
ABG vs VBG: Arterial vs Venous Blood Gases ABG PROS: Tells you exactly what the arterial environment looks
ABG vs VBG: Arterial ... vs Venous Blood Gases ... looks like (pH, PaCO2 ... serial exams #ABG ... Comparison #pH #pCO2
Acid Base Disorders - Blood Gas Interpretation Steps for Blood Gas Interpretation: 1. Acidemia or Alkalemia? 2.
7.35-7.45 • PaCO2 ... 35-45 mmHg • PaO2 ... Metabolic: pH pCO2 ... - Rapid saline infusion ... Acetazolamide Causes
Hypoxia and Hypoxemia - Overview Hypoxia - insufficient oxygen delivered to tissues to meet demands Hypoxemia - low
type of hypoxia) PIO2 ... O2 is inspired) PAO2 ... blood (measured on ABG ... Low SvO2 → Low PaO2 ... differential #diagnosis #causes
Hypoxemic Respiratory Failure - Differential Diagnosis Framework DECREASED INSPIRED OXYGEN • Low PATM Can decrease first part
average settings • Causes ... HYPOVENTILATION • Rising PaCO2 ... gas equation • Causes ... • Most common cause ... to hypoxemia • Causes
Hepatopulmonary Syndrome - Diagnosis and Management Summary A defect in arterial oxygenation due to a gas exchange
lung disease Caused ... either due to a diffusion-perfusion ... • Orthopnea - PaO2 ... Arterial blood gas (ABC ... transplant - Lizzie Aby
#ICUCard RENAL GFR 90-131 mL/min ((140-age)*Wt)/(72*Cr) Glomerular Filtration Rate (Cockcroft) CI Cr 90-131 mL/min (CrU * volume)/CrS Creatinine Clearance FENa 0.0-1.0 % ((U/P Na)/(U/P Cr))*100 Fractional Excretion of Na+ Na req mEq (125-Na)*0.6*Wt Required Sodium FE Urea
Gap ACID-BASE AG ... pCO2 = 1.5 (HCO3 ... pCO2 = 0.9 (HCO3 ... for each 10 T in pCO2 ... for each 10 1 in pCO2
Differential Diagnosis for Hemolytic Anemia Intrinsic Causes: • Enzyme deficiencies ex. G6PD, pyruvate kinase • Hemoglobinopathies
Anemia Intrinsic Causes ... elliptocytosis Extrinsic Causes ... Intravascular Causes ... ABO incompatibility ... Differential #Diagnosis #causes
Causes of Pleural Effusion - Differential Diagnosis Algorithm Transudate - Hydrostatic • Congestive heart failure • Constrictive
Causes of Pleural ... Effusion - Differential ... syndrome • Post-CABG ... 2LmUODZ #Pleural #Effusion ... Algorithm #Hepatology #causes
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
confirm reservoir bag ... using reservoir bag ... rate, rhythm, perfusion ... potential surgical causes ... team. ❼ Consider causes
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
should identify any cause ... confirm reservoir bag ... using reservoir bag ... Consider potential causes ... rate, rhythm, perfusion
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