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Non-Invasive Ventilation (BiPAP) Algorithm - Indications and Contraindications Indications for NIV: • COPD - pH <7.35, pCO2
COPD - pH <7.35, pCO2 ... VC < 1 even if pCO2 ... or pH <7.35 and pCO2 ... RR or daytime pCO2 ... BiPAP #Algorithm #criticalcare
Basics of Waveform Capnography Waveform capnography assesses ventilation by monitoring exhaled carbon dioxide Can use measurement and morphology
pathophysiology CLINICAL ... Assessing for CO2 ... Transition as CO2 ... - Arterial CO2 ... WAVEFORM - Critical
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 ... Amy Chung, MD, MSc
Markers of Organ Dysfunction in Severe Sepsis Altered consciousness Confusion Psychosis Tachycardia Hypotension Altered CVP Altered
Tachypnoea PaO2 ... 70mmHg SaO2 < 90% PaO2 ... Severe #Sepsis #CriticalCare
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) - Respiratory symptoms must have begun within one
week of a known clinical ... inspired oxygen (PaO2 ... - 200 mm Hg < PaO2 ... - 100 mm Hg < PaO2 ... Criteria #Diagnosis #CriticalCare
Understanding & Treating ARDS - Acute Respiratory Distress Syndrome • Timing - within one week of
Impaired Oxygenation PaO2 ... Diagnosis #Management #CriticalCare
PROSEVA definition of ARDS Thus, the PROSEVA trial essentially modifies the Berlin definition of ARDS, with the
requirement that the PaO2 ... requires that the PaO2 ... #Diagnosis #CriticalCare
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 #ICUCard RENAL GFR 90-131 mL/min ((140-age)*Wt)/(72*Cr) Glomerular Filtration Rate (Cockcroft) CI Cr 90-131 mL/min (CrU * volume)/CrS Creatinine Clearance FENa 0.0-1.0 % ((U/P Na)/(U/P Cr))*100 Fractional Excretion of Na+ Na req mEq (125-Na)*0.6*Wt Required Sodium FE Urea
pCO2 = 1.5 (HCO3 ... for each 10 - in pCO2 ... for each 10 J in pCO2 ... pk + log (HCO3/(PCO2 ... 70 mmHg on 100% mask
General schema for respiratory support in patients with COVID-19 Low flow nasal cannula • Typically set at
filter • N95 mask ... patients with PaO2 ... Internet Book of Critical ... management #schema #criticalcare
Severe Asthma Exacerbation Signs of a Severe Asthma Exacerbation: • Vitals: ↑HR ↑RR ↓SpO2 • High work
ABG: - High pCO2 ... #Exacerbation #CriticalCare
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