28 results
Capnography
Measurement of exhaled carbon dioxide can be used to confirm ETT placement, for safer procedural sedation,
monitor cardiac & pulmonary ... on an ABG) The ... Downsloping phase III: copd ... airway obstruction, copd ... patterns #diagnosis #pulmonary
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
ABG And BMP Normal ... Metabolic: pH pCO2 ... Classically” noted with pulmonary ... lung disease (COPD ... Summary #Nephrology #ABG
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
→ ↓ → →↑ Pulmonary ... +2PDP)/3 Mean Pulmonary ... Perfusion Pressure COP ... MPAP-WP)*79.92)/CO Pulmonary ... = 1.36 cmH20 PULMONARY
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 ... Hypoxemia #summary #pulmonary
Algorithm for Management of Acute Exacerbation of COPD (AECOPD)

Obtain workup for alternate diagnoses and relevant comorbidities:
Exacerbation of COPD ... newly diagnosed COPD ... /ABG Matthew ... MatthewHoMD #COPD ... Exacerbation #treatment #pulmonary
Campbell’s sign or Tracheal Descent in Longstanding COPD

Patients with longstanding COPD may show downward displacement of
in Longstanding COPD ... with longstanding COPD ... Tracheal #Descent #COPD ... #clinical #video ... #physicalexam #pulmonary
Chronic Hypercapnic Respiratory Failure Phenotypes
Pink Puffers (robust vent drive) ↑ their WOB when pulmonary mechanics gradually
their WOB when pulmonary ... caloric cost) → pulmonary ... same WOB when pulmonary ... worsen (despite the CO2 ... Failure #Phenotypes #COPD
Tracheal Descent Sign

Paradoxical inward movement of the trachea during inspiration. Seen in this COPD patient in
Seen in this COPD ... Video via Dr. ... Sign #clinical #video ... #respiratory #pulmonary ... breathing #Trachea #COPD
Severe Asthma Exacerbation
Signs of a Severe Asthma Exacerbation:
 • Vitals: ↑HR ↑RR ↓SpO2
 • High work
poor air flow • ABG ... : - High pCO2 ... Abnormally normal ABG ... #CriticalCare #pulmonary
Hoover’s Sign on Physical Exam

Paradoxical retraction of the lower intercostal spaces on inspiration in this patient
patient in severe COPD ... PhysicalExam #clinical #video ... #pulmonary #COPD