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clinical diagnosis echocardiogram pulmonary differential ultrasound cardiology management lung pericardial tamponade cardiac criticalcare syndrome complex pleural a4c acute malignant video
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
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
Approach to the A-a Gradient A-a gradient = PAO2 - PaO2 A-a gradient = [FiO2 x (Patm -
A-a gradient = PAO2 ... - PaO2 A-a gradient ... (Patm - 47) - (PaCO2 ... Hypoventilation: CNS of Respiratory ... Disease and more • Diffusion
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
DP-PCWP Coronary Perfusion ... min 400-600 mL Respiratory ... -PECO2))/PaCO2 ... = >60% Forced Espiratory ... ratio Respiratory
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 ... - Rapid saline infusion
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) - Respiratory symptoms must have begun within one
Criteria for Acute Respiratory ... Syndrome (ARDS) - Respiratory ... explained by pleural effusions ... - 200 mm Hg < PaO2 ... #ARDS #Acute #Respiratory
Tachypnea - Differential Diagnosis Framework Definitions • Tachypnea: Respiratory rate > 20/min, shallow breathing in adults •
• Tachypnea: Respiratory ... • Hyperpnea: Respiratory ... PVFM) Cardiac Causes ... • Pericardial effusion ... Hematologic Causes
#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
)+9 Respiratory ... for each 10 T in pCO2 ... for each 10 1 in pCO2 ... Respiratory Alkalosis ... pk + log (HCO3/(PCO2
Main Lung Ultrasound differences between COVID-19 involvement and other conditions that may yield respiratory symptoms •
that may yield respiratory ... Consolidations, Pleural effusion ... Large pleural effusion ... localized pleural effusion ... areas #COVID19 #POCUS
Pulmonary Pathology and Associated Lung Ultrasound Findings Pneumothorax: - No lung sliding/barcode sign - Lung point (hard
pleura in severe cases ... Possible bilateral effusion ... severity Acute Respiratory ... submassive PE) POCUS ... #signs #Lung #POCUS
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