128 results
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
What's in a Blood Gas? VBG vs ABG

BOTTOM LINE: VBG is less painful, more easily obtained
VBG vs ABG BOTTOM ... obtained than ABG ... very well, and PvCO2 ... EBM #Diagnosis #ABG ... Comparison #PH #PCO2
ABG vs VBG: Arterial vs Venous Blood Gases

ABG
PROS: Tells you exactly what the arterial environment looks
ABG vs VBG: Arterial ... Blood Gases ABG ... looks like (pH, PaCO2 ... serial exams #ABG ... Comparison #pH #pCO2
Arterial Blood Gas (ABG) Analysis - Metabolic + Respiratory Acidosis + Alkalosis

pH ↓ pCO2 ↓ -
Arterial Blood Gas (ABG ... Alkalosis pH ↓ pCO2 ... acidosis pH ↑ pCO2 ... alkalosis pH ↑ pCO2 ... Arterial #BloodGas #ABG
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
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Intracardiac, Pulmonary ... V/Q Mismatch: Pulmonary ... , Atelectasis, Pulmonary ... Diffusion Defect: Pulmonary ... alveolar #arterial #pulmonary
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 ... Index CARDIAC WORK ... RCWI Cardiac Work ... 0.0144 Cardiac Work
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
ABG And BMP Normal ... 35-45 mmHg • PaO2 ... Metabolic: pH pCO2 ... Classically” noted with pulmonary ... Summary #Nephrology #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
Approach to Acid Base Disorders - Evaluation and Differential Diagnosis
1) Start with the Anion Gap (AG).
2)
the Anion Gap (AG ... Do you need an ABG ... approximates an ABG ... and ~5 mmHg to pCO2 ... Disorders #Evaluation #workup