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diagnosis differential causes management nephrology acute criticalcare treatment cardiology hepatology hypoxia hepatopulmonary hyponatremia hypoxemia respiratory summary abdominal ards chronic clinical
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
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 Normal ... Hypoventilation Syndrome ... Hepatopulmonary Syndrome
Acid Base Disorders - Blood Gas Interpretation Steps for Blood Gas Interpretation: 1. Acidemia or Alkalemia? 2.
ABG And BMP Normal ... 7.35-7.45 • PaCO2 ... 35-45 mmHg • PaO2 ... D-lactate (short bowel syndrome ... Classically” noted with pulmonary
Oxygen Saturation - Measurement Techniques and Limitations • Sp02 - Cutaneous pulse oximeter • SaO2 Calculated
pulse oximeter • SaO2 ... Point-of-care handheld ABG ... device • SaO2 ... #Measurement #pulmonary
Platypnea-Orthodeoxia Syndrome on Physical Exam The case of a patient with a diagnosis of cirrhosis and platypnea-orthodeoxia
Platypnea-Orthodeoxia Syndrome ... platypnea-orthodeoxia syndrome ... to 90% (and in paO2 ... #Orthodeoxia #Syndrome ... #respiratory #pulmonary
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 Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) - Respiratory symptoms must have begun within one
Respiratory Distress Syndrome ... consistent with pulmonary ... lung collapse, or pulmonary ... - 200 mm Hg < PaO2 ... Respiratory #Distress #Syndrome
Causes of Pleural Effusion - Differential Diagnosis Algorithm Transudate - Hydrostatic • Congestive heart failure • Constrictive
Differential Diagnosis Algorithm ... Malignancy • Pulmonary ... • Post-CABG ... Pleural #Effusion #Pulmonary ... #Diagnosis #Algorithm
Post Pulmonary Embolism Syndrome - Diagnostic Algorithm Annals of the ATS @AnnalsATS #PostPE #Pulmonary #Embolism #Syndrome #Diagnosis #Algorithm
Post Pulmonary Embolism ... Syndrome - Diagnostic ... Algorithm Annals ... #Embolism #Syndrome ... #Diagnosis #Algorithm
Hepatopulmonary Syndrome - Diagnosis and Management Summary A defect in arterial oxygenation due to a gas exchange
Hepatopulmonary Syndrome ... • Orthopnea - PaO2 ... cirrhosis • Intra-pulmonary ... perfusion scanning or pulmonary ... hepatopulmonary #syndrome
Severe Asthma Exacerbation Signs of a Severe Asthma Exacerbation: • Vitals: ↑HR ↑RR ↓SpO2 • High work
poor air flow • ABG ... : - High pCO2 ... Abnormally normal ABG ... #CriticalCare #pulmonary
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