18 results
Capnography
Measurement of exhaled carbon dioxide can be used to confirm ETT placement, for safer procedural sedation,
monitor cardiac & pulmonary ... with alveolar ventilation ... Downsloping phase III: copd ... airway obstruction, copd ... patterns #diagnosis #pulmonary
Acid Base and Blood Gas Analysis
1. pH - What’s the primary disturbance?
2. pCO2 - What’s the
2. pCO2 - What’s ... the pCO2? ... obstruction • COPD ... MD @nickmmark #acidbase ... #workup #algorithm
Non-Invasive Ventilation (BiPAP) Algorithm - Indications and Contraindications
Indications for NIV:
 • COPD - pH <7.35, pCO2
Non-Invasive Ventilation ... (BiPAP) Algorithm ... Indications for NIV: • COPD ... #Noninvasive #Ventilation ... #BiPAP #Algorithm
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 ... Perfusion Pressure COP ... Index CARDIAC WORK ... RCWI Cardiac Work ... VT*RR Minute Ventilation
Severe Asthma Exacerbation
Signs of a Severe Asthma Exacerbation:
 • Vitals: ↑HR ↑RR ↓SpO2
 • High work
↓SpO2 • High work ... ABG: - High pCO2 ... with increased work ... • Initial ventilator ... #CriticalCare #pulmonary
Causes of Hypoxemia- Differential Diagnosis Algorithm
Ventilation/perfusion Mismatch
 • Airway Disease (Asthma, COPD)
 • Vascular (PE*)
 •
Differential Diagnosis Algorithm ... Ventilation/perfusion ... Disease (Asthma, COPD ... Differential #Diagnosis #Algorithm ... #Causes #Pulmonary
COPD phenotypes:  Blue Bloaters vs. Pink Puffers
The two most stereotypical forms of COPD are pink
a near-normal PaCO2 ... persistently increased work ... life-threat is increased work ... increase in the work ... #BlueBloaters #Comparison
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
HYPOVENTILATION • Rising PaCO2 ... diffusion defects) VENTILATION ... perfusion (Q) and ventilation ... matching adequate ventilation ... Pneumonia, asthma, COPD
Algorithm for Management of Acute Exacerbation of COPD (AECOPD)

Obtain workup for alternate diagnoses and relevant comorbidities:
Algorithm for Management ... Exacerbation of COPD ... AECOPD) Obtain workup ... #AECOPD #Algorithm ... Exacerbation #treatment #pulmonary
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
35-45 mmHg • PaO2 ... Metabolic: pH pCO2 ... Classically” noted with pulmonary ... lung disease (COPD ... MDaniyalHashmi1 #AcidBase