90 results
Markers of Organ Dysfunction in Severe Sepsis 
Altered consciousness 
Confusion 
Psychosis 

Tachycardia 
Hypotension 
Altered CVP 
Altered
Altered CVP Altered PAOP ... Tachypnoea PaO2 ... <70mmHg SaO2 < ... 90% PaO2/FiO2 300% ... Severe #Sepsis #CriticalCare
PROSEVA definition of ARDS
Thus, the PROSEVA trial essentially modifies the Berlin definition of ARDS, with the
requirement that the PaO2 ... requires that the PaO2 ... FiO2 ratio remain stable ... #Diagnosis #CriticalCare
PLACO Mnemonic - Approach to Acid-Base Disorders
P - Determine the pH
L - Labs: PCO2 & HCO3
A
- Approach to Acid-Base ... pH L - Labs: PCO2 ... PLACO #AcidBase #Acid
Acid-Base Balance & ABG Normal Ranges Visualization #AcidBase #ABG #Medicine #Physiology #CriticalCare
Base Excess BE -2 to
Acid-Base Balance ... Medicine #Physiology #CriticalCare ... metabolic acidosis), paCO2 ... HCO3+Cl) 10-18 paO2
Acid-Base Balance & ABG Normal Ranges Visualization #AcidBase #ABG #Medicine #Physiology #CriticalCare
Base Excess BE -2 to
Acid-Base Balance ... Medicine #Physiology #CriticalCare ... metabolic acidosis), paCO2 ... HCO3+Cl) 10-18 paO2
Acid Base Disorders Worksheet

Step 1: Gather the necessary data (Na+, CI-, HCO3-, PH, pCO2). Preferably, all
Acid Base Disorders ... CI-, HCO3-, PH, pCO2 ... 3: Look at the pCO2 ... . 3a: If pCO2 ... joshsteinbergMD #Acid
Oxygen-Hemoglobin Dissociation Curve

Left Shift (↓ O2 unloading to tissue), Left = Lower:
 • ↓ H+ (↑
+ (↑ pH) • ↓ PCO2 ... tissue): • ↑ H+ (Acid ... ) • ↑ PCO2
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
inspired oxygen (PaO2 ... - 200 mm Hg < PaO2 ... - 100 mm Hg < PaO2 ... H2O - Severe - PaO2 ... Criteria #Diagnosis #CriticalCare
Acid-Base Disorders - Differential Diagnosis Algorithm
Acidemia (pH < 7.35)
 • Metabolic Acidosis (HCO3 < 24mmol/L) CO2
Acid-Base Disorders ... Respiratory Acidosis (pCO2 ... Respiratory Alkalosis (pCO2
Understanding & Treating ARDS - Acute Respiratory Distress Syndrome

•  Timing - within one week of
Impaired Oxygenation PaO2 ... Diagnosis #Management #CriticalCare