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diagnosis management cardiology differential algorithm comparison criticalcare treatment anesthesia anesthesiology checklist classification hypoxia workup clinical intraoperative signs symptoms syndrome cyanosis
Multifocal Atrial Tachycardia (MAT) • At least 3 different P wave morphologies: • Rate 100-180 • Irregular Etiology
Multifocal Atrial ... morphologies: • Rate ... • Hypoxia • Pulmonary ... Management • Oxygen ... #Multifocal #Atrial
Right Heart Catheterization Cheat Sheet: Interpretation of Pressures and Waveforms Direct measurements ● Central venous pressure
(PAp) ● Pulmonary ... – CVP]/CO) ● Pulmonary ... SVI = CI/heart rate ... SVI x 0.136) ● Oxygen ... Hb x SaO2) ● Oxygen
Hypoxia and Hypoxemia - Overview Hypoxia - insufficient oxygen delivered to tissues to meet demands Hypoxemia - low
dissolved in arterial ... content of arterial ... Hypoxemia #summary #pulmonary ... differential #diagnosis #causes ... #pathophysiology
Hypoxemic Respiratory Failure - Differential Diagnosis Framework DECREASED INSPIRED OXYGEN • Low PATM Can decrease first part
DECREASED INSPIRED OXYGEN ... Difficulty diffusing oxygen ... with supplemental oxygen ... lung diseases, pulmonary ... shunting (eg, atrial
Causes of Hypoxemia- Differential Diagnosis Algorithm Ventilation/perfusion Mismatch • Airway Disease (Asthma, COPD) • Vascular (PE*) •
Causes of Hypoxemia ... Intracardiac Right ... Defect ** • Atrial ... Diagnosis #Algorithm #Causes ... #Pulmonary
Causes of Diastolic Murmurs - Differential Diagnosis Algorithm Early Diastolic: • Aortic Regurgitation • Pulmonary Regurgitation (Graham-Steell
Causes of Diastolic ... Regurgitation • Pulmonary ... Flint Murmur) • Atrial ... Myxoma Prolapse Late ... Diagnosis #Algorithm #causes
Oxygen Delivery by Device Nasal Cannula • Indicated for low-flow, low-percentage supplemental oxygen. • Flow rate of
• Flow rate of ... • Flow rate of ... retention of exhaled gases ... • Uses either ... Delivery #FiO2 #Pulmonary
Oxygen-Hemoglobin Dissociation Curve Left Shift (↓ O2 unloading to tissue), Left = Lower: • ↓ H+ (↑
Oxygen-Hemoglobin ... Temperature Right ... MatthewHoMD #Oxygen ... Dissociation #Curve #pathophysiology ... #pulmonary #respiratory
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
flutter, ectopic atrial ... with caution in pulmonary ... Treat underlying cause ... with caution in pulmonary ... Treat underlying cause
Atrial Fibrillation Overview Symptoms: Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope. 1. Why? Cardiac: • Valvular heart disease •
Atrial Fibrillation ... Palpitations, light-headedness ... Noncardiac: • Pulmonary ... Rate Control • ... Anticoagulation #Atrial
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