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Acid-Base Disorders - Differential Diagnosis Algorithm Acidemia (pH < 7.35) • Metabolic Acidosis (HCO3 < 24mmol/L) CO2
HCO3 12:10 • Respiratory ... Acidosis (pCO2 ... HCO3 7:10 • Respiratory ... Alkalosis (pCO2 ... Diagnosis #Algorithm #Causes
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
Acid Base Disorders - Blood Gas Interpretation Steps for Blood Gas Interpretation: 1. Acidemia or Alkalemia? 2.
Respiratory or Metabolic ... 7.35-7.45 • PaCO2 ... 35-45 mmHg • PaO2 ... Metabolic: pH pCO2 ... of Respiratory
Basics of Waveform Capnography Waveform capnography assesses ventilation by monitoring exhaled carbon dioxide Can use measurement and morphology
different phases of respiratory ... pathophysiology CLINICAL ... Assessing for CO2 ... PHASE I - Inspiratory ... WAVEFORM - Critical
Hypoxemic Respiratory Failure - Differential Diagnosis Framework DECREASED INSPIRED OXYGEN • Low PATM Can decrease first part
Hypoxemic Respiratory ... HYPOVENTILATION • Rising PaCO2 ... : Decreased respiratory ... of hypoxemic respiratory ... oxygen #Hypoxemic #Respiratory
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) - Respiratory symptoms must have begun within one
Criteria for Acute Respiratory ... Syndrome (ARDS) - Respiratory ... week of a known clinical ... - 200 mm Hg < PaO2 ... #ARDS #Acute #Respiratory
Paradoxical Respirations in Diaphragmatic Paralysis Note the paradoxical movement of the abdomen during inspiration. The accessory inspiratory
The accessory inspiratory ... This change causes ... Breathing #Diaphragm #Clinical ... PhysicalExam #Pulmonary #Respiratory
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 COPD phenotypes: Blue Bloaters vs. Pink Puffers The two most stereotypical forms of COPD are pink
physiology and clinical ... causing ineffective CO2 ... a near-normal PaCO2 ... patients present with respiratory ... airflow obstruction causes
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 Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet An acute diffuse, inflammatory lung injury, leading to
Acute Respiratory ... Syndrome – ARDS: Clinical ... on CT or CXR ● PaO2 ... there is no clear cause ... the underlying cause
#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 ... pCO2 = 0.9 (HCO3 ... )+9 Respiratory ... Respiratory Alkalosis ... 70 mmHg on 100% mask
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