Calculations Flashcards
Estimating heart rate from an ECG tracing
300# of lage boxes b/n R wave
1500/# of small boxes b/n R
Pulse pressure
Systolic pressure -diastolic pressure
MAP
MAP =(2x diastolic)+systolic/3
Cardiac output(duck equation)
Qt=vo2/C(a-v)o2(10)
Cardiac output(stroke volume equation )
qt =heart rate x stroke volume
Stroke volume
Qt/heart rate
Cerebral perfusion pressure (CPP)
CPP=MAP-ICP
Cardiac index
CI=qt/BSA= cardiac output/body surface area
Systemic vascular resistance (SVR)
MAP-CVP/Cardiac output
To convert to dynes,multiply mmgh/l/min by 80
Pulmonary vascular resistance (PVR)
(MPAP-PWP)/cardiac output
PAO2
(Pb-ph2o)x FIO2-PaCO2/0.8
Paco2 X1.25
A-aDo2
PAO2-Pao2
Pao2/FIO2 ratio or P/f ratio
Pao2 \ FIO2
Ca02
(Hbx1.34xSa02)+(Pa02x.003)
Cv02
(Hb x 1.34 x SvO2) + (Pv02 x 0.003)
C(a-v)O2
Cao2-CVO2
Q_t
VO2/C(a-v)O2 *10
VO2
QtC(a-v)O210
Qs/Qt
(A-aDO2).003/ (A-aD2).003 +C(a-v)O2
SaO2
Pao2 +30(when Pa02 is b/n 40 and 60 torr
Oxygen index(OI)
Paw x FIO2/PaO2 x100
Vd/vt
Paco2-PEco2/Paco2 * 100
Desired minute volume
(VEPaCo2)=(VEPaCO2)
Suction catheter size
Catheter size =ID size/2 *3u
To approximate FIO2 with a nasal cannula
For every 1 L/min.increase in flow rate FIO2 increase by 4%
20 +(4*L)= approximate FI02
Ideal body weight
50kg+(2*inches over 5ft
+ 2 m
-2 f
Exhaled Tidal volume (VT)
(Ve\f)
VE
Vt*f
Alveolar minute ventilation (vA)
(Vt-vd)*f
Use the approximation of ml per Lb. of ideal body weight for vd
Dynamic compliance
Exhaled volume/(peak inspiration pressure -peep)
Static compliance
Exhaled volume/plateau pressure -peep
Airway resistance(Raw)-estimate
Raw peak pressure-plateau pressure
Work of breathing
P x v or change in pressure x change in volume
Rapid shallow breathing index (RSBI)
Respiratory Rate \vt(L)
He/02
Mixture using an oxygen flowmeter
Actual flow= indicate flow * factor
He/O2 factors:
80/20 mixture:1:8
70/30 mixture 1.6
Volume lost through chest tubes
Deliver tidal volume-exhaled tidal volume=lost volume
Patient’s maximum heart rate:(220-age in years)
Patient’s maximum heart rate:(220-age in years)