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clinical pulmonary diagnosis ultrasound criticalcare differential management physicalexam syndrome acute breathing algorithm ards chest failure hypoxia a4c acid base berlin
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 ... Hypoventilation: CNS of Respiratory ... Embolism, Obstructive Lung ... , Interstitial Lung
Basics of Waveform Capnography Waveform capnography assesses ventilation by monitoring exhaled carbon dioxide Can use measurement and morphology
different phases of respiratory ... Assessing for CO2 ... PHASE I - Inspiratory ... Transition as CO2 ... the heart to the lung
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) - Respiratory symptoms must have begun within one
Criteria for Acute Respiratory ... Syndrome (ARDS) - Respiratory ... lobar collapse, lung ... - 200 mm Hg < PaO2 ... #ARDS #Acute #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 ... or restrictive lung
Weaning from the Ventilator - Algorithm Setting up for extubation success • Decrease demand — correct metabolic
acidosis, decrease CO2 ... steroids & NMB • Respiratory ... stop or reduce long ... Diuresis — Dry lungs ... are happy lungs
Hypoxemic Respiratory Failure - Differential Diagnosis Framework DECREASED INSPIRED OXYGEN • Low PATM Can decrease first part
Hypoxemic Respiratory ... HYPOVENTILATION • Rising PaCO2 ... : Interstitial lung ... ventilation (V) in the lungs ... bypassing the lungs
Voluntary action Emotion, temperature Coughing, sneezing, etc. Physical work Respiratory center in brainstem Coinnervation Medulla Rhythm generator IXth/Xth nerve Respiratory drive: Peripheral Central Mechanosensors in locomotor system Xth nerve Respiration Central chemosensors 个 In CSF: PC02, pH Carotid
Physical work Respiratory ... IXth/Xth nerve Respiratory ... Mechanosensors in lung ... and respiratory ... muscles In blood: #PCO2
Pulmonary Pathology and Associated Lung Ultrasound Findings Pneumothorax: - No lung sliding/barcode sign - Lung point (hard
and Associated Lung ... barcode sign - Lung ... severity Acute Respiratory ... submassive PE) POCUS ... #POCUS #ultrasound
General schema for respiratory support in patients with COVID-19 Low flow nasal cannula • Typically set at
General schema for respiratory ... useful to allow for lung-protective ... use conventional lung-protective ... patients with PaO2 ... Care @iBookCC #respiratory
Main Lung Ultrasound differences between COVID-19 involvement and other conditions that may yield respiratory symptoms •
Main Lung Ultrasound ... that may yield respiratory ... areas #COVID19 #POCUS ... #Lung #Ultrasound
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