23 results
diagnosis pulmonary clinical physicalexam acidosis alkalosis breathing sign bloodgas compensation interpretation metabolic abg algorithm differential disorders hoovers acid base comparison
Acid-Base Disorders - Differential Diagnosis Algorithm Acidemia (pH < 7.35) • Metabolic Acidosis (HCO3 < 24mmol/L) CO2
HCO3 12:10 • Respiratory ... Acidosis (pCO2 ... HCO3 7:10 • Respiratory ... Alkalosis (pCO2 ... < 35 mmHg) #AcidBase
Acid Base Compensation - Directions - If all three variables (pH, HCO2, pCO2) move in the
variables (pH, HCO2 ... , pCO2) move in ... it is a primary respiratory ... Diagnosis #Nephro #AcidBase ... Alkalosis #Metabolic #Respiratory
Arterial Blood Gas (ABG) Analysis - Metabolic + Respiratory Acidosis + Alkalosis pH ↓ pCO2 ↓ -
- Metabolic + Respiratory ... acidosis pH ↑ pCO2 ... ↓ - Respiratory ... ↑ - Respiratory ... Interpretation #AcidBase
Acid Base and Blood Gas Analysis 1. pH - What’s the primary disturbance? 2. pCO2 - What’s the
2. pCO2 - What’s ... the pCO2? ... Respiratory Acidosis ... obstruction • COPD ... MD @nickmmark #acidbase
Blood Gas (ABG) Interpretation and Acid-Base Pathology 1- Does the patient have an acidosis or an alkalosis?
Look at the pCO2 ... Metabolic Equal (If pCO2 ... the change in pCO2 ... calculate the expected pCO2 ... MSc @AmyChung #AcidBase
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
Perfusion Pressure COP ... min 400-600 mL Respiratory ... -PECO2))/PaCO2 ... = >60% Forced Espiratory ... ratio Respiratory
Non-Invasive Ventilation (BiPAP) Algorithm - Indications and Contraindications Indications for NIV: • COPD - pH <7.35, pCO2
Indications for NIV: • COPD ... - pH <7.35, pCO2 ... Neuromuscular disease - Respiratory ... VC < 1 even if pCO2 ... RR or daytime pCO2
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 ... lung disease (COPD ... MDaniyalHashmi1 #AcidBase
Tracheal Descent Sign Paradoxical inward movement of the trachea during inspiration. Seen in this COPD patient in
Seen in this COPD ... patient in severe respiratory ... Video via Dr. ... Sign #clinical #video ... breathing #Trachea #COPD
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 Acid-Base Disorders - Expected Compensation Equations Metabolic Acidosis: • pCO2 = 1.5 x HCO3 + 8 ±
Acidosis: • pCO2 ... ↑ 0.7 Respiratory ... ∆ HCO3 ↑ 3 Respiratory ... #Acid #Base #AcidBase ... Compensation #Metabolic #Respiratory
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