20 results
pulmonary clinical physicalexam diagnosis breathing sign hoovers acidbase algorithm bloodgas criticalcare descent differential failure icucard interpretation management paradoxical phenotypes trachea
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 ... production Respiratory
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
Perfusion Pressure COP ... min 400-600 mL Respiratory ... -PECO2))/PaCO2 ... = >60% Forced Espiratory ... ratio Respiratory
Non-Invasive Ventilation (BiPAP) Algorithm - Indications and Contraindications Indications for NIV: • COPD - pH <7.35, pCO2
Indications for NIV: • COPD ... - pH <7.35, pCO2 ... Neuromuscular disease - Respiratory ... VC < 1 even if pCO2 ... RR or daytime pCO2
COPD phenotypes: Blue Bloaters vs. Pink Puffers The two most stereotypical forms of COPD are pink
COPD phenotypes: ... causing ineffective CO2 ... a near-normal PaCO2 ... patients present with respiratory ... #BlueBloaters #Comparison
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 Tracheal Descent Sign Paradoxical inward movement of the trachea during inspiration. Seen in this COPD patient in
Seen in this COPD ... patient in severe respiratory ... Video via Dr. ... Sign #clinical #video ... breathing #Trachea #COPD
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 Campbell’s sign or Tracheal Descent in Longstanding COPD Patients with longstanding COPD may show downward displacement of
in Longstanding COPD ... with longstanding COPD ... Tracheal #Descent #COPD ... #clinical #video ... physicalexam #pulmonary #respiratory
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 Chronic Hypercapnic Respiratory Failure Phenotypes Pink Puffers (robust vent drive) ↑ their WOB when pulmonary mechanics gradually
Chronic Hypercapnic Respiratory ... worsen (despite the CO2 ... #Hypercapnic #Respiratory ... Failure #Phenotypes #COPD
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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 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 ... lung disease (COPD
Hoover's Sign Hoover’s sign refers to inward movement of the lower rib cage during inspiration- instead of
associated with COPD ... COPD, and more specifically ... Sign #Pulmonary #COPD ... #PhysicalExam #Video ... #Paradoxical #Respiratory
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