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diagnosis pulmonary criticalcare management causes hypoxemia summary syndrome acute algorithm criteria respiratory workup aa abg acid acidbase acidosis alveolar anesthesia
Hypoxia and Hypoxemia - Overview Hypoxia - insufficient oxygen delivered to tissues to meet demands Hypoxemia - low
) PIO2 - atmospheric ... O2 is inspired) PAO2 ... Low SvO2 → Low PaO2 ... Low SvO2 → Low PaO2 ... #pulmonary #differential
Approach to the A-a Gradient A-a gradient = PAO2 - PaO2 A-a gradient = [FiO2 x (Patm -
A-a gradient = PAO2 ... - PaO2 A-a gradient ... : Atelectasis, ARDS ... arterial #pulmonary #Hypoxia ... #hypoxemia #differential
Hypoxemia vs Hypoxia Hypoxemia - Partial pressure of arterial oxygen (PaO2) is below normal Hypoxia - Insufficient oxygen
Hypoxemia vs Hypoxia ... Hypoxemia - Partial ... arterial oxygen (PaO2 ... compensate for low PaO2 ... #hypoxemia #differential
Acute Hypoxemia - Differential Diagnosis • Hyperacute: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Acute Hypoxemia ... - Differential Diagnosis ... - Physiologic: ARDS ... Sophia_Hayes_MD #Hypoxemia ... #hypoxia #Differential
Mechanical ventilation in obese patients according to the i-STAR Algorithm Intubate • Anticipate difficult airway management and
6 mL'kg PBW in ARDS ... 8 mL4(g in non-ARDS ... minimal to keep PaO2 ... and non ARDS, no ... • FiO2: avoid hyperoxia
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) - Respiratory symptoms must have begun within one
Distress Syndrome (ARDS ... severity of the hypoxemia ... severity of the ARDS ... - 200 mm Hg < PaO2 ... >= 5cm H2O #ARDS
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet An acute diffuse, inflammatory lung injury, leading to
Distress Syndrome – ARDS ... congestion with hypoxemia ... on CT or CXR ● PaO2 ... sepsis-associated ARDS ... days after dx of ARDS
Acid Base Disorders - Blood Gas Interpretation Steps for Blood Gas Interpretation: 1. Acidemia or Alkalemia? 2.
Differentials? ... Metabolic: pH pCO2 ... , pain, fever, hypoxia ... with associated hypoxia ... Base #Gas #VBG #differential
Hypoxemic Respiratory Failure - Differential Diagnosis Framework DECREASED INSPIRED OXYGEN • Low PATM Can decrease first part
Respiratory Failure - Differential ... HYPOVENTILATION • Rising PaCO2 ... direction leads to hypoxemia ... Respiratory #Failure #hypoxia ... #Differential #
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
Lactic Acidosis - Differential ... usually: - hypoxemia ... hypoperfusion/ hypoxemia ... (PaO2 < 30mmHg) ... Acidosis #Elevation #Differential
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