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Hepatopulmonary Syndrome HPS - Diagnosis: 1. Patients with liver disease 2. Alveolar-arterial oxygen gradient (AaP02) >15 mmHg
Moderate HPS: ≥ 60 PaO2 ... Severe HPS: ≥ 50 PaO2 ... Very severe HPS: PaO2 ... Syndrome #diagnosis #management
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) - Respiratory symptoms must have begun within one
week of a known clinical ... inspired oxygen (PaO2 ... - 200 mm Hg < PaO2 ... - 100 mm Hg < PaO2 ... H2O - Severe - PaO2
Non-Invasive Ventilation (BiPAP) Algorithm - Indications and Contraindications Indications for NIV: • COPD - pH <7.35, pCO2
COPD - pH <7.35, pCO2 ... VC < 1 even if pCO2 ... or pH <7.35 and pCO2 ... RR or daytime pCO2 ... #criticalcare #management
Platypnea-Orthodeoxia Syndrome on Physical Exam The case of a patient with a diagnosis of cirrhosis and platypnea-orthodeoxia
there is a drop in SaO2 ... to 90% (and in paO2 ... #PhysicalExam #clinical
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 Understanding & Treating ARDS - Acute Respiratory Distress Syndrome • Timing - within one week of
Impaired Oxygenation PaO2 ... Syndrome #Diagnosis #Management
Hepatopulmonary Syndrome - Diagnosis and Management Summary A defect in arterial oxygenation due to a gas exchange
Diagnosis and Management ... shunt (Type 2) Clinical ... • Orthopnea - PaO2 ... Oxygenation defect - PaO2 ... SpO2 > 88% • Management
Blood Gas (ABG) Interpretation and Acid-Base Pathology 1- Does the patient have an acidosis or an alkalosis?
Look at the pCO2 ... Metabolic Equal (If pCO2 ... the change in pCO2 ... calculate the expected pCO2 ... Amy Chung, MD, MSc
#ICUCard RENAL GFR 90-131 mL/min ((140-age)*Wt)/(72*Cr) Glomerular Filtration Rate (Cockcroft) CI Cr 90-131 mL/min (CrU * volume)/CrS Creatinine Clearance FENa 0.0-1.0 % ((U/P Na)/(U/P Cr))*100 Fractional Excretion of Na+ Na req mEq (125-Na)*0.6*Wt Required Sodium FE Urea
pCO2 = 1.5 (HCO3 ... ТНСО3 → TPCO2 pCO2 ... Pa02 < 70 mmHg on ... 100% mask A-a ... < 50 mmHg Pa02
GHOST CAP - Neuro ICU Checklist Mnemonic G - Glycemia H - Hemoglobin O - Oxygen S - Sodium T -
Pressure P - PaCO2 ... Checklist #Mnemonic #management
Pneumocystis jirovecii Pneumonia Clinical • Caused by Pneumocystis jirovecii (formerly carinil) • Immunocompromised host
jirovecii Pneumonia Clinical ... • Steroids for Pa02 ... Pneumonia #Diagnosis #Management
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