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Acid-Base Disorders - Differential Diagnosis Algorithm Acidemia (pH < 7.35) • Metabolic Acidosis (HCO3 < 24mmol/L) CO2
HCO3 < 24mmol/L) CO2 ... Respiratory Acidosis (pCO2 ... HCO3 > 28mmol/L) CO2 ... Respiratory Alkalosis (pCO2 ... Diagnosis #Algorithm #Causes
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 ... (Patm - 47) - (PaCO2 ... Embolism, Obstructive Lung ... , Interstitial Lung
Capnography Measurement of exhaled carbon dioxide can be used to confirm ETT placement, for safer procedural sedation,
- Alveolar CO2 ... • PvCO2 - Mixed ... venous CO2 • ... PaCO2 - Arterial ... intubation, single lung
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
Hypoxia and Hypoxemia - Overview Hypoxia - insufficient oxygen delivered to tissues to meet demands Hypoxemia - low
type of hypoxia) PIO2 ... O2 is inspired) PAO2 ... hypoxia) - Low PaO2 ... Low SvO2 → Low PaO2 ... differential #diagnosis #causes
Hypoxemic Respiratory Failure - Differential Diagnosis Framework DECREASED INSPIRED OXYGEN • Low PATM Can decrease first part
HYPOVENTILATION • Rising PaCO2 ... gas equation • Causes ... : Interstitial lung ... ventilation (V) in the lungs ... bypassing the lungs
Basics of Waveform Capnography Waveform capnography assesses ventilation by monitoring exhaled carbon dioxide Can use measurement and morphology
Assessing for CO2 ... baseline - PECO2 ... Transition as CO2 ... - Arterial CO2 ... the heart to the lung
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 ... or restrictive lung
Lung Segment Anatomy Annotated on Chest CT Right Lung: • Upper Lobe: Apical, Posterior, Anterior • Middle
Lung Segment Anatomy ... Chest CT Right Lung ... Lung: • Upper ... radiopaedia.org/cases ... lang=us #Lung #
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 Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet An acute diffuse, inflammatory lung injury, leading to
, inflammatory lung ... permeability, lung ... with decreased lung ... on CT or CXR ● PaO2 ... the underlying cause
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