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clinical physicalexam breathing diagnosis management differential chest paradoxical criticalcare copd flail causes distress respirations sign trauma pattern pediatrics failure ventilation
Acid-Base Disorders - Differential Diagnosis Algorithm Acidemia (pH < 7.35) • Metabolic Acidosis (HCO3 < 24mmol/L) CO2
Differential Diagnosis Algorithm ... HCO3 12:10 • Respiratory ... HCO3 7:10 • Respiratory ... Alkalosis (pCO2 ... Differential #Diagnosis #Algorithm
Approach to the A-a Gradient A-a gradient = PAO2 - PaO2 A-a gradient = [FiO2 x (Patm -
Hypoventilation: CNS of Respiratory ... Intracardiac, Pulmonary ... V/Q Mismatch: Pulmonary ... , Atelectasis, Pulmonary ... Diffusion Defect: 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 ... = 1.36 cmH20 PULMONARY ... min 400-600 mL Respiratory ... ratio Respiratory
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 ... production Respiratory ... acidbase #workup #algorithm
Oxygen-Hemoglobin Dissociation Curve Left Shift (↓ O2 unloading to tissue), Left = Lower: • ↓ H+ (↑
+ (↑ pH) • ↓ PCO2 ... + (Acid) • ↑ PCO2 ... pathophysiology #pulmonary ... #respiratory
Basics of Waveform Capnography Waveform capnography assesses ventilation by monitoring exhaled carbon dioxide Can use measurement and morphology
different phases of respiratory ... data regarding pulmonary ... PHASE I - Inspiratory ... output state - Pulmonary ... patterns #diagnosis #pulmonary
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
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) - Respiratory symptoms must have begun within one
Criteria for Acute Respiratory ... Syndrome (ARDS) - Respiratory ... consistent with pulmonary ... lung collapse, or pulmonary ... #ARDS #Acute #Respiratory
Hoover's sign on Physical Exam Paradoxical retraction of the lower intercostal spaces on inspiration Pulmonary hyperinflation → flattening
on inspiration Pulmonary ... this occurs, the inspiratory ... PhysicalExam #Clinical #Video ... #Breathing #Respiratory ... #pulmonary
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 Paradoxical Respirations in Acute Respiratory Failure on Physical Exam - Dr. Roberto Cosentini @rob_cosentini #Paradoxical #Respirations #Breathing #Respiratory
Respirations in Acute Respiratory ... Respirations #Breathing #Respiratory ... PhysicalExam #clinical #video ... #Pulmonary
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