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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 ... Cardiac Work Index, Right ... Stroke Work Index, Right ... min 400-600 mL Respiratory ... ratio Respiratory
Uncommon Causes of Noncardiogenic Pulmonary Edema (NCPE) - Differential Diagnosis Framework

High Altitude Pulmonary Edema:
 • Accumulation
crackles in the right ... - Amount of oxygen ... evidence of left atrial ... rate, decreased ... • Pathophysiology
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Hypoventilation: CNS of Respiratory ... Hypoventilation Syndrome ... Age-Adjusted Gradient • Right ... Hepatopulmonary Syndrome ... Gradient #alveolar #arterial
Abnormalities in Rate and Rhythm of Breathing 
Normal 
The respiratory rate is about 14—20 per min
Abnormalities in Rate ... rate is about 14 ... hyperventilation syndrome—a ... Breathing #Patterns #Pulmonary ... Abnormalities #Abnormal
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
Weight loss • Night ... fluid (CSF) is abnormal ... upper and lower respiratory ... Thrombosis and arterial ... vasculitis • Cogan syndrome
Hepatopulmonary Syndrome - Illness Script
HPS is a pulmonary disorder of chronic liver disease characterized by a
Hepatopulmonary Syndrome ... abnormalities PATHOPHYSIOLOGY ... HPS mortality rate ... than supplemental oxygen ... resolution of syndrome