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Severe Asthma Exacerbation Signs of a Severe Asthma Exacerbation: • Vitals: ↑HR ↑RR ↓SpO2 • High work
ABG: - High pCO2 ... of baseline Treatments ... #CriticalCare #pulmonary ... ventilation #mechanical #management ... #treatment
Approach to the A-a Gradient A-a gradient = PAO2 - PaO2 A-a gradient = [FiO2 x (Patm -
Intracardiac, Pulmonary ... V/Q Mismatch: Pulmonary ... , Atelectasis, Pulmonary ... Diffusion Defect: Pulmonary ... alveolar #arterial #pulmonary
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 ... +2PDP)/3 Mean Pulmonary ... MPAP-WP)*79.92)/CO Pulmonary ... MPAP-WP)*79.92)/CI Pulmonary ... = 1.36 cmH20 PULMONARY
Capnography Measurement of exhaled carbon dioxide can be used to confirm ETT placement, for safer procedural sedation,
monitor cardiac & pulmonary ... • PvCO2 - Mixed ... venous CO2 • ... PaCO2 - Arterial ... patterns #diagnosis #pulmonary
Basics of Waveform Capnography Waveform capnography assesses ventilation by monitoring exhaled carbon dioxide Can use measurement and morphology
data regarding pulmonary ... Assessing for CO2 ... Transition as CO2 ... output state - Pulmonary ... patterns #diagnosis #pulmonary
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 ... Hypoxemia #summary #pulmonary
Oxygen-Hemoglobin Dissociation Curve Left Shift (↓ O2 unloading to tissue), Left = Lower: • ↓ H+ (↑
+ (↑ pH) • ↓ PCO2 ... + (Acid) • ↑ PCO2 ... pathophysiology #pulmonary
Management of Polycystic Ovary Syndrome (PCOS) Hyperandrogenism, Family Planning, Endometrial cancer prevention, Cardiovascular risk factor management → Weight
Management of Polycystic ... Ovary Syndrome (PCOS ... No FDA approved treatments ... for PCOS) Not ... BrighamChiefs #PCOS
Treatment Algorithm for Pulmonary Hypertension #Pulmonary #Hypertension #PAH #Treatment #Management #Algorithm #Medications
Treatment Algorithm ... for Pulmonary Hypertension ... #Pulmonary # ... Hypertension #PAH #Treatment ... #Management #Algorithm
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 ... #criticalcare #management
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