31 results
COPD Exacerbations - Management
 • Identify Triggers
 • Assess Severity
 • Risk for Poor Outcomes
 •
Identify Triggers • Assess ... Outcomes • Initial Treatment ... (Supplemental oxygen ... Exacerbation #Management #treatment ... #pulmonary
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
Pathophysiology ... degrees • Chills, night ... weight loss • Late ... CXR upright or lat ... #pulmonary #differential
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
morphologies: • Rate ... • Hypoxia • Pulmonary ... Management • Oxygen ... • Treatment of ... condition • Rate
Oxygen-Hemoglobin Dissociation Curve

Left Shift (↓ O2 unloading to tissue), Left = Lower:
 • ↓ H+ (↑
Oxygen-Hemoglobin ... Temperature Right ... MatthewHoMD #Oxygen ... Dissociation #Curve #pathophysiology ... #pulmonary #respiratory
Lung Abscess
Microbiology:
 • Polymicrobial 
 • Anaerobes (most common) 
Clinical: 
 • Indolent symptoms that evolve
Lung Abscess Microbiology ... production • Night ... , hemoptysis Treatment ... meropenem) #Lung #Abscess ... #Diagnosis #Pulmonary
Oxygen Delivery Equation
DO2 = CO x {(1.39 x Hb x sO2) + (PaO2 x 0.03)}
DO2 =
Oxygen Delivery ... x 0.03)} DO2 = Rate ... of oxygen delivery ... Delivery #Equation #pathophysiology ... #pulmonary #apples
Right Heart Catheterization Cheat Sheet: Interpretation of Pressures and Waveforms 
Direct measurements
 ● Central venous pressure
pressure (PAp) ● Pulmonary ... – CVP]/CO) ● Pulmonary ... SVI = CI/heart rate ... SVI x 0.136) ● Oxygen ... Hb x SaO2) ● Oxygen
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
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 ... small valve to mix oxygen ... specified flow rate ... Devices #management #pulmonary
Algorithm for Management of Acute Exacerbation of COPD (AECOPD)

Obtain workup for alternate diagnoses and relevant comorbidities:
diagnosed COPD Assess ... Start supplemental oxygen ... #Exacerbation #treatment ... #pulmonary