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clinical diagnosis ultrasound pulmonary abdominal management cardiology echocardiogram algorithm lung causes renal workup abscess comparison nephrology syndrome hepatology kidney obgyn
Hypoxia and Hypoxemia - Overview Hypoxia - insufficient oxygen delivered to tissues to meet demands Hypoxemia - low
O2 is inspired) PAO2 ... blood (measured on ABG ... Low SvO2 → Low PaO2 ... sepsis) - High PaO2 ... summary #pulmonary #differential
ABG vs VBG: Arterial vs Venous Blood Gases ABG PROS: Tells you exactly what the arterial environment looks
ABG vs VBG: Arterial ... Blood Gases ABG ... looks like (pH, PaCO2 ... serial exams #ABG ... Comparison #pH #pCO2
What's in a Blood Gas? VBG vs ABG BOTTOM LINE: VBG is less painful, more easily obtained
VBG vs ABG BOTTOM ... LINE: VBG is less ... obtained than ABG ... EBM #Diagnosis #ABG ... Comparison #PH #PCO2
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 ... Hypoxia #hypoxemia #differential
Acid Base Disorders - Blood Gas Interpretation Steps for Blood Gas Interpretation: 1. Acidemia or Alkalemia? 2.
Differentials? ... ABG And BMP Normal ... 35-45 mmHg • PaO2 ... Summary #Nephrology #ABG ... #differential
Arterial Blood Gas (ABG) Analysis - Metabolic + Respiratory Acidosis + Alkalosis pH ↓ pCO2 ↓ -
Arterial Blood Gas (ABG ... Alkalosis pH ↓ pCO2 ... acidosis pH ↑ pCO2 ... alkalosis pH ↑ pCO2 ... Arterial #BloodGas #ABG
Approach to Acid Base Disorders - Evaluation and Differential Diagnosis 1) Start with the Anion Gap (AG). 2)
Evaluation and Differential ... approximates an ABG ... and ~5 mmHg to pCO2 ... Differential Diagnosis ... Evaluation #workup #Differential
Oxygen Saturation - Measurement Techniques and Limitations • Sp02 - Cutaneous pulse oximeter • SaO2 Calculated
pulse oximeter • SaO2 ... Point-of-care handheld ABG ... device • SaO2
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
Hypoxemia vs Hypoxia Hypoxemia - Partial pressure of arterial oxygen (PaO2) is below normal Hypoxia - Insufficient oxygen
arterial oxygen (PaO2 ... compensate for low PaO2 ... hypoxia #hypoxemia #differential
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