58 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
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 ... : Atelectasis, ARDS
PROSEVA definition of ARDS
Thus, the PROSEVA trial essentially modifies the Berlin definition of ARDS, with the
definition of ARDS ... definition of ARDS ... requirement that the PaO2 ... requires that the PaO2 ... #Diagnosis #CriticalCare
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Understanding & Treating ARDS - Acute Respiratory Distress Syndrome

•  Timing - within one week of
Understanding & Treating ARDS ... Impaired Oxygenation PaO2 ... @nickmmark #ARDS ... Diagnosis #Management #CriticalCare
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
Distress Syndrome (ARDS ... severity of the ARDS ... - 200 mm Hg < PaO2 ... >= 5cm H2O #ARDS ... Criteria #Diagnosis #CriticalCare
Arterial Blood Gas (ABG) Analysis - Metabolic + Respiratory Acidosis + Alkalosis

pH ↓ pCO2 ↓ -
Alkalosis pH ↓ pCO2 ... acidosis pH ↑ pCO2 ... alkalosis pH ↑ pCO2 ... alkalosis pH ↓ pCO2 ... Interpretation #AcidBase
Mechanical ventilation in obese patients according to the i-STAR Algorithm
Intubate
 • Anticipate difficult airway management and
5 cmH20 in non-ARDS ... and non-ARDS) ... > 7.25 in non-ARDS ... minimal to keep PaO2 ... obese #Management #CriticalCare
ARDS - Overview

M. Daniyal Hashmi, MD @MDaniyalHashmi1

#ARDS #Respiratory #Distress #Acute #Syndrome #Diagnosis #Management #CriticalCare #summary
ARDS - Overview ... MDaniyalHashmi1 #ARDS ... Diagnosis #Management #CriticalCare
PLACO Mnemonic - Approach to Acid-Base Disorders
P - Determine the pH
L - Labs: PCO2 & HCO3
A
pH L - Labs: PCO2 ... jadav_md #PLACO #AcidBase
Acid Base Compensation - Directions - If all three variables (pH, HCO2, pCO2) move in the
variables (pH, HCO2, pCO2 ... Diagnosis #Nephro #AcidBase