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diagnosis clinical physicalexam breathing differential management causes criticalcare chest paradoxical flail distress respirations hypoxia sign trauma treatment ventilation pattern asthma
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 ... obstruction • COPD ... acidbase #workup #algorithm
Capnography Measurement of exhaled carbon dioxide can be used to confirm ETT placement, for safer procedural sedation,
monitor cardiac & pulmonary ... • PvCO2 - Mixed ... Downsloping phase III: copd ... airway obstruction, copd ... patterns #diagnosis #pulmonary
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 ... Perfusion Pressure COP ... min 400-600 mL Respiratory ... ratio Respiratory
Non-Invasive Ventilation (BiPAP) Algorithm - Indications and Contraindications Indications for NIV: • COPD - pH <7.35, pCO2
Ventilation (BiPAP) Algorithm ... Indications for NIV: • COPD ... - pH <7.35, pCO2 ... Neuromuscular disease - Respiratory ... Ventilation #BiPAP #Algorithm
Tracheal Descent Sign Paradoxical inward movement of the trachea during inspiration. Seen in this COPD patient in
Seen in this COPD ... Video via Dr. ... Sign #clinical #video ... #pulmonary #breathing ... #Trachea #COPD
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 Chronic Hypercapnic Respiratory Failure Phenotypes Pink Puffers (robust vent drive) ↑ their WOB when pulmonary mechanics gradually
Chronic Hypercapnic Respiratory ... their WOB when pulmonary ... worsen (despite the CO2 ... #Hypercapnic #Respiratory ... Failure #Phenotypes #COPD
Campbell’s sign or Tracheal Descent in Longstanding COPD Patients with longstanding COPD may show downward displacement of
in Longstanding COPD ... with longstanding COPD ... #clinical #video ... #physicalexam #pulmonary ... #respiratory
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 Hoover’s Sign on Physical Exam Paradoxical retraction of the lower intercostal spaces on inspiration in this patient
patient in severe COPD ... PhysicalExam #clinical #video ... #pulmonary #COPD ... #respiratory
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