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diagnosis management cardiology differential causes syndrome classification hematology hepatopulmonary hypoxia algorithm anesthesia anesthesiology checklist comparison criticalcare delivery fibrillation hps hypertension
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
Hepatopulmonary Syndrome (HPS) HPS-differential diagnosis: 1. Pulmonary vasculature 2. Diseases of the lung parenchyma 3. Pleura and diaphragm HPS-diagnosis: 1. Patients
Pulmonary vasculature ... Alveolar-arterial ... oxygen gradient ... Syndrome #HPS #hepatology ... #pulmonary #diagnosis
Oxygen-Hemoglobin Dissociation Curve Left Shift (↓ O2 unloading to tissue), Left = Lower: • ↓ H+ (↑
Oxygen-Hemoglobin ... Temperature Right ... MatthewHoMD #Oxygen ... Dissociation #Curve #pathophysiology ... #pulmonary #respiratory
Hypoxia and Hypoxemia - Overview Hypoxia - insufficient oxygen delivered to tissues to meet demands Hypoxemia - low
dissolved in arterial ... hemoglobin in arterial ... content of arterial ... Hypoxemia #summary #pulmonary ... diagnosis #causes #pathophysiology
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
Oxygen Delivery Equation DO2 = CO x {(1.39 x Hb x sO2) + (PaO2 x 0.03)} DO2 =
Oxygen Delivery ... x 0.03)} DO2 = Rate ... hemoglobin PaO2 = Partial ... Delivery #Equation #pathophysiology ... #pulmonary #apples
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
→ ↓ → →↑ Pulmonary ... +2PDP)/3 Mean Pulmonary ... Cardiac Work Index, Right ... Stroke Work Index, Right ... = 1.36 cmH20 PULMONARY
Atrial Fibrillation (A-Fib) Summary Symptoms: • Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope. Why? Cardiac: • Valvular heart
Atrial Fibrillation ... Palpitations, light-headedness ... Noncardiac: • Pulmonary ... block or WPW Rate ... sinus rhythm vs rate
Mask Oxygen Delivery Devices Simple Mask aka Hudson's Mask: • Flow 6-10 LPM • FiO2 35-50% Face Tent:
Mask Oxygen Delivery ... not tolerate a tight-fitting ... specified flow rate ... • FiO2 24-60% Partial ... Devices #management #pulmonary
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