59 results
Approach to Acid Base Disorders - Evaluation and Differential Diagnosis
1) Start with the Anion Gap (AG).
2)
Approach to Acid Base ... than expected based ... Generally, for acid/base ... and ~5 mmHg to pCO2 ... Disorders #Evaluation #workup
Capnography
Measurement of exhaled carbon dioxide can be used to confirm ETT placement, for safer procedural sedation,
monitor cardiac & pulmonary ... • PvCO2 - Mixed ... venous CO2 • ... on an ABG) The ... patterns #diagnosis #pulmonary
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Acid Base Disorders ... 35-45 mmHg • PaO2 ... Metabolic: pH pCO2 ... Classically” noted with pulmonary ... bloodgas #Acid #Base
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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 ... +2PDP)/3 Mean Pulmonary ... Index CARDIAC WORK ... RCWI Cardiac Work ... 0.0144 Cardiac Work
Acid Base and Blood Gas Analysis
1. pH - What’s the primary disturbance?
2. pCO2 - What’s the
Acid Base and Blood ... 2. pCO2 - What’s ... the pCO2? ... Medications, Central, ↑ CO2 ... nickmmark #acidbase #workup
Blood Gas (ABG) Interpretation and Acid-Base Pathology
1- Does the patient have an acidosis or an alkalosis?
Blood Gas (ABG) ... Interpretation and Acid-Base ... Look at the pCO2 ... need to do more work ... AmyChung #AcidBase #ABG
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
Severe Asthma Exacerbation
Signs of a Severe Asthma Exacerbation:
 • Vitals: ↑HR ↑RR ↓SpO2
 • High work
↓SpO2 • High work ... poor air flow • ABG ... : - High pCO2 ... with increased work ... #CriticalCare #pulmonary
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Hyperacute Hypoxemia - Workup ... Aspiration, Flash Pulmonary ... Bronchospasm, Pulmonary ... edema), Lung Exam, POCUS ... BNP, Troponin), ABG
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
the patient's work ... normalize the ABG ... than monitoring ABG ... failure), not the ABG ... to “blow off” CO2