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diagnosis differential cardiology management causes hypoxia classification criticalcare respiratory algorithm anesthesia anesthesiology checklist hepatology hepatopulmonary hypoxemia intraoperative treatment workup cheatsheet
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
Causes of Hypoxemia- Differential Diagnosis Algorithm Ventilation/perfusion Mismatch • Airway Disease (Asthma, COPD) • Vascular (PE*) •
Arterial Hypertension ... Intracardiac Right ... Defect ** • Atrial ... Right to Left Shunt ... Hypoventilation Syndrome
Oxygen-Hemoglobin Dissociation Curve Left Shift (↓ O2 unloading to tissue), Left = Lower: • ↓ H+ (↑
Oxygen-Hemoglobin ... Temperature Right ... MatthewHoMD #Oxygen ... Dissociation #Curve #pathophysiology ... #pulmonary #respiratory
Hepatopulmonary Syndrome (HPS) HPS-differential diagnosis: 1. Pulmonary vasculature 2. Diseases of the lung parenchyma 3. Pleura and diaphragm HPS-diagnosis: 1. Patients
Hepatopulmonary Syndrome ... Pulmonary vasculature ... Alveolar-arterial ... oxygen gradient ... Hepatopulmonary #Syndrome
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
Hypoxemic Respiratory Failure - Differential Diagnosis Framework DECREASED INSPIRED OXYGEN • Low PATM Can decrease first part
DECREASED INSPIRED OXYGEN ... obesity-hypoventilation syndrome ... with supplemental oxygen ... hepatopulmonary syndrome ... shunting (eg, atrial
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
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