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Acid-Base Disorders - Differential Diagnosis Algorithm Acidemia (pH < 7.35) • Metabolic Acidosis (HCO3 < 24mmol/L) CO2
Differential Diagnosis Algorithm ... Respiratory Acidosis (pCO2 ... Respiratory Alkalosis (pCO2 ... Differential #Diagnosis #Algorithm ... #Causes #Compensation
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
Capnography Measurement of exhaled carbon dioxide can be used to confirm ETT placement, for safer procedural sedation,
monitor cardiac & pulmonary ... • PvCO2 - Mixed ... venous CO2 • ... PaCO2 - Arterial ... patterns #diagnosis #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 ... MPAP-WP)*79.92)/CO Pulmonary ... MPAP-WP)*79.92)/CI 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 ... Low SvO2 → Low PaO2 ... Hypoxemia #summary #pulmonary ... differential #diagnosis #causes
ABG vs VBG: Arterial vs Venous Blood Gases ABG PROS: Tells you exactly what the arterial environment looks
vs Venous Blood Gases ... looks like (pH, PaCO2 ... Comparison #pH #pCO2
Acid Base and Blood Gas Analysis 1. pH - What’s the primary disturbance? 2. pCO2 - What’s the
2. pCO2 - What’s ... the pCO2? ... Medications, Central, ↑ CO2 ... acidbase #workup #algorithm
Basics of Waveform Capnography Waveform capnography assesses ventilation by monitoring exhaled carbon dioxide Can use measurement and morphology
data regarding pulmonary ... Assessing for CO2 ... Transition as CO2 ... output state - Pulmonary ... patterns #diagnosis #pulmonary
Non-Invasive Ventilation (BiPAP) Algorithm - Indications and Contraindications Indications for NIV: • COPD - pH <7.35, pCO2
Ventilation (BiPAP) Algorithm ... COPD - pH <7.35, pCO2 ... VC < 1 even if pCO2 ... RR or daytime pCO2 ... Ventilation #BiPAP #Algorithm
Oxygen-Hemoglobin Dissociation Curve Left Shift (↓ O2 unloading to tissue), Left = Lower: • ↓ H+ (↑
+ (↑ pH) • ↓ PCO2 ... + (Acid) • ↑ PCO2 ... pathophysiology #pulmonary
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