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diagnosis management criticalcare differential pulmonary covid19 ventilation interpretation noninvasive syndrome acidbase acidosis acute alkalosis causes ctchest hematology hypoxia nephrology pattern
Acid-Base Disorders - Differential Diagnosis Algorithm Acidemia (pH < 7.35) • Metabolic Acidosis (HCO3 < 24mmol/L) CO2
Differential Diagnosis Algorithm ... HCO3 12:10 • Respiratory ... Acidosis (pCO2 ... HCO3 7:10 • Respiratory ... Differential #Diagnosis #Algorithm
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 ... nickmmark #acidbase #workup ... #algorithm #diagnosis
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
Index CARDIAC WORK ... RCWI Cardiac Work ... 0.0144 Cardiac Work ... min 400-600 mL Respiratory ... ratio Respiratory
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 ... need to do more work
Non-Invasive Ventilation (BiPAP) Algorithm - Indications and Contraindications Indications for NIV: • COPD - pH <7.35, pCO2
Ventilation (BiPAP) Algorithm ... COPD - pH <7.35, pCO2 ... Neuromuscular disease - Respiratory ... VC < 1 even if pCO2 ... Ventilation #BiPAP #Algorithm
Basics of Waveform Capnography Waveform capnography assesses ventilation by monitoring exhaled carbon dioxide Can use measurement and morphology
different phases of respiratory ... pathophysiology CLINICAL ... Assessing for CO2 ... PHASE I - Inspiratory ... WAVEFORM - Critical
COPD phenotypes: Blue Bloaters vs. Pink Puffers The two most stereotypical forms of COPD are pink
physiology and clinical ... a near-normal PaCO2 ... patients present with respiratory ... increase in the work ... #BlueBloaters #Comparison
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 Approach to Selecting Respiratory Support: -The role of noninvasive respiratory support is generally to reduce the patient's
Approach to Selecting Respiratory ... of noninvasive respiratory ... the patient's work ... to “blow off” CO2 ... RespiratorySupport #Selection #Algorithm
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 Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) - Respiratory symptoms must have begun within one
Criteria for Acute Respiratory ... Syndrome (ARDS) - Respiratory ... week of a known clinical ... - 200 mm Hg < PaO2 ... #ARDS #Acute #Respiratory
Causes of Approach to Altered Level of Consciousness - Workup Clinical Exam - Focal • Trauma •
Consciousness - Workup ... Clinical Exam ... Imaging Section Clinical ... Refer to Blood Work ... #algorithm #Causes
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