51 results
Hypoxia and Hypoxemia - Overview
Hypoxia - insufficient oxygen delivered to tissues to meet demands
Hypoxemia - low
O2 is inspired) PAO2 ... reaches the alveoli) PaO2 ... blood (measured on ABG ... Low SvO2 → Low PaO2 ... Hypoxemia #summary #pulmonary
Arterial Blood Gas (ABG) Analysis - Metabolic + Respiratory Acidosis + Alkalosis

pH ↓ pCO2 ↓ -
Arterial Blood Gas (ABG ... - Metabolic + Respiratory ... ↓ - Respiratory ... ↑ - Respiratory ... Arterial #BloodGas #ABG
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 ... /0.8)] - PaO2 Simplified ... /0.8)] - PaO2 Normal ... Hypoventilation: CNS of 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 ... Classically” noted with 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 ... min 400-600 mL Respiratory ... age-corrected PAO2 ... ratio Respiratory
Blood Gas (ABG) Interpretation and Acid-Base Pathology
1- Does the patient have an acidosis or an alkalosis?
Blood Gas (ABG) ... Look at the pCO2 ... Metabolic Equal (If pCO2 ... the change in pCO2 ... AmyChung #AcidBase #ABG
Approach to Acid Base Disorders - Evaluation and Differential Diagnosis
1) Start with the Anion Gap (AG).
2)
Do you need an ABG ... approximates an ABG ... and ~5 mmHg to pCO2 ... retention • Respiratory ... Ventilation • Respiratory
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
Criteria for Acute Respiratory ... Syndrome (ARDS) - Respiratory ... consistent with pulmonary ... lung collapse, or pulmonary ... #ARDS #Acute #Respiratory
Oxygen Saturation - Measurement Techniques and Limitations
 • Sp02 - Cutaneous pulse oximeter
 • SaO2 Calculated
pulse oximeter • SaO2 ... Point-of-care handheld ABG ... device • SaO2 ... #Measurement #pulmonary
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