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diagnosis management pulmonary workup clinical causes hypoxia ultrasound acidosis anesthesia anesthesiology checklist hypoxemia intraoperative lung treatment acid algorithm base classification
Acid Base Disorders - Blood Gas Interpretation Steps for Blood Gas Interpretation: 1. Acidemia or Alkalemia? 2.
Differentials? ... Metabolic: pH pCO2 ... acidosis Step 5 - Differential ... - Rapid saline infusion ... #differential
Approach to the A-a Gradient A-a gradient = PAO2 - PaO2 A-a gradient = [FiO2 x (Patm -
A-a gradient = PAO2 ... - PaO2 A-a gradient ... (Patm - 47) - (PaCO2 ... Disease and more • Diffusion ... Hypoxia #hypoxemia #differential
Approach to Acid Base Disorders - Evaluation and Differential Diagnosis 1) Start with the Anion Gap (AG). 2)
Evaluation and Differential ... Do you need an ABG ... and ~5 mmHg to pCO2 ... Differential Diagnosis ... Evaluation #workup #Differential
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 ... summary #pulmonary #differential
Hepatopulmonary Syndrome - Diagnosis and Management Summary A defect in arterial oxygenation due to a gas exchange
either due to a diffusion-perfusion ... • Orthopnea - PaO2 ... Arterial blood gas (ABC ... Oxygenation defect - PaO2 ... 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 ... for each 10 - in pCO2 ... for each 10 J in pCO2 ... pk + log (HCO3/(PCO2
Hypoxemic Respiratory Failure - Differential Diagnosis Framework DECREASED INSPIRED OXYGEN • Low PATM Can decrease first part
Respiratory Failure - Differential ... HYPOVENTILATION • Rising PaCO2 ... syndrome, OSA DIFFUSION ... of reversible diffusion ... Failure #hypoxia #Differential
Differential Diagnosis for Hemolytic Anemia Intrinsic Causes: • Enzyme deficiencies ex. G6PD, pyruvate kinase • Hemoglobinopathies
Differential Diagnosis ... bites • IVIG infusion ... ABO incompatibility ... Rhogam • S/p IV infusion ... Hemolytic #Anemia #Differential
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup NAGMA - Chem, ABG or VBG - Calculate Anion
Acidosis (NAGMA) - Differential ... NAGMA - Chem, ABG ... or VBG - Calculate ... Normal saline infusion ... Metabolic #NAGMA #Differential
Causes of Pleural Effusion - Differential Diagnosis Algorithm Transudate - Hydrostatic • Congestive heart failure • Constrictive
Causes of Pleural Effusion ... - Differential ... syndrome • Post-CABG ... 2LmUODZ #Pleural #Effusion
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