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Community Acquired Pneumonia (CAP) - Diagnosis and Management Pneumonia Signs/Symptoms: • Confusion/disorientation (LR + 1.9) • Cough
• PaO2/FiO2 ratio ... predictive value: RESPIRATORY ... procalcitonin level Treatment ... + macrolide or respiratory ... Diagnosis #Management #treatment
Hypoxia and Hypoxemia - Overview Hypoxia - insufficient oxygen delivered to tissues to meet demands Hypoxemia - low
O2 is inspired) PAO2 ... reaches the alveoli) PaO2 ... Low SvO2 → Low PaO2 ... Low SvO2 → Low PaO2 ... sepsis) - High PaO2
Respiratory Oxygenation Cycle - Pathophysiology PO2 and PCO2 By @rev.med #Respiratory #Oxygenation #Cycle #circulation #pathophysiology
Respiratory Oxygenation ... Pathophysiology PO2 ... and PCO2 By @rev.med ... #Respiratory #
Perform computations online at: ScyMed.com 6th ED ICU-card «ICU, Formulas & Drugs» HEMODYNAMIC PATTERNS Condition SAP CVP PAP PCWP CO C(a-v)02 PVR SVR Hypovolemic shock ↓ ↓ ↓ ↓ ↓ ↑ ↑ ↑ Cardiogenic shock ↓ 1 ↑ 1 1 ↑ Septic shock ↓ ↓ ↓ ↓ ↑ ↓ ↓ ↓ Cardiac Tamponade . ↑ ↑ 1 ↓ → ↑ RV
min 400-600 mL Respiratory ... -PECO2))/PaCO2 ... = >60% Forced Espiratory ... age-corrected PAO2 ... ratio Respiratory
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 ... Hypoventilation: CNS of Respiratory
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%
Arterial Blood Gas (ABG) Analysis - Metabolic + Respiratory Acidosis + Alkalosis pH ↓ pCO2 ↓ -
- Metabolic + Respiratory ... acidosis pH ↑ pCO2 ... alkalosis pH ↑ pCO2 ... ↓ - Respiratory ... ↑ - Respiratory
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) - Respiratory symptoms must have begun within one
Criteria for Acute Respiratory ... Syndrome (ARDS) - Respiratory ... - 200 mm Hg < PaO2 ... - 100 mm Hg < PaO2 ... #ARDS #Acute #Respiratory
Understanding & Treating ARDS - Acute Respiratory Distress Syndrome • Timing - within one week of
Treating ARDS - Acute Respiratory ... Origin of Edema - respiratory ... Impaired Oxygenation PaO2 ... nickmmark #ARDS #Respiratory
Blood Gas (ABG) Interpretation and Acid-Base Pathology 1- Does the patient have an acidosis or an alkalosis?
– metabolic or respiratory ... Look at the pCO2 ... Metabolic Equal (If pCO2 ... the change in pCO2 ... calculate the expected pCO2
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