43 results
Acid-Base Disorders - Differential Diagnosis Algorithm
Acidemia (pH < 7.35)
 • Metabolic Acidosis (HCO3 < 24mmol/L) CO2
HCO3 < 24mmol/L) CO2 ... Respiratory Acidosis (pCO2 ... Respiratory Alkalosis (pCO2 ... < 35 mmHg) #AcidBase ... Diagnosis #Algorithm #Causes
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Distress Syndrome – ARDS ... on CT or CXR ● PaO2 ... there is no clear cause ... Management ● Early ... the underlying cause
Mechanical ventilation in obese patients according to the i-STAR Algorithm
Intubate
 • Anticipate difficult airway management and
difficult airway management ... 6 mL'kg PBW in ARDS ... 8 mL4(g in non-ARDS ... minimal to keep PaO2 ... ventilation #obese #Management
Understanding & Treating ARDS - Acute Respiratory Distress Syndrome

•  Timing - within one week of
Understanding & Treating ARDS ... Impaired Oxygenation PaO2 ... @nickmmark #ARDS ... Syndrome #Diagnosis #Management
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 ... Acetazolamide Causes ... MDaniyalHashmi1 #AcidBase
Hantavirus
Pathogen: Hantavirus - Rodents are the primary reservoir
Transmission:
 • Shed in the urine, feces, saliva of
barns and lake houses ... Febrile illness + ARDS ... chills, myalgias, nausea ... Hantavirus #diagnosis #management
Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 • Occupational exposure - Farmers, ranchers, trappers, veterinarians
 • Recreational
non-productive cough, nausea ... pulmonary disease ARDS ... diagnosis #treatment #management
APRV - Overview 

Airway pressure release ventilation (APRV) uses prolonged periods of high continuous positive airway
ventilation (APRV) uses ... therapy for severe ARDS ... #Ventilation #Management
Intracranial Hemorrhage (ICH) and Increased Intracranial Pressure (ICP) - Pathophysiology
ICH Management:
1. Manage Blood Pressure
  •
Pathophysiology ICH Management ... : • Low CO2 = ... CPP) • High CO2 ... = dilated BV = raises ... #neurosurgery #management
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
Diagnosis and Management ... lung disease Caused ... • Orthopnea - PaO2 ... SpO2 > 88% • Management ... syndrome #diagnosis #management