M5 Equations Flashcards
Alveolar Gas Equation
PAO2 = FIO2 (PATM – PH2O )– PaCO2 / RQ
Dead Space (Bohr Equation)
VD/VT = (PaCO2 –PECO2) / (Pa CO2)
Ohm’s Law
Pressure Gradient = Air Flow x Airway Resistance
Airway Resistance for Laminar Flow (Poiseuille’s Law)
Laminar Flow Resistance = (8 Length • Viscosity of gas) / (πRadius^4 )
Reynold’s Number
R = (Velocity x Density x Diameter) / (Viscosity)
> 2000 consistent with turbulent flow
Static Compliance
Static compliance = Volume/Pressure = (Tidal volume delivered) / (Plateau pressure – PEEP)
Dynamic Compliance
Dynamic compliance = Volume/Pressure = (Tidal volume delivered) / (Peak pressure – PEEP)
Law of LaPlace
Pressure = (2 • Wall Tension) / (Radius)
Note: wall thickness is typically not considered for alveoli
Transpulmonary Pressure
Transpulmonary pressure = Alveolar pressure – Pleural pressure
Transthoracic Pressure
Transthoracic pressure = Pleural pressure – Atmospheric pressure
Predicted PaO2 by Age
Predicted PaO2 = 110-(age • 0.4)
Boyle’s Law
Pressure1 • Volume1 = Pressure2 • Volume2
Ohm’s Law
Pressure = Cardiac Output • Resistance
Myocardial Perfusion Pressure
MPP = Aortic diastolic pressure – LVEDP
LaPlace Law
Tension = (Pressure • Radius)/(2 • Wall Thickness)
Note: Notice that as opposed to the equation in the Respiratory Section, the equation is solved for wall tension
Poiseuille’s Law
Flow Rate = (π • Pressure • radius4)/(8 • viscosity • length)
Note: Notice that as opposed to the equation in the Respiratory Section, the equation is solved for flow.
Fick Principle
CO = VO2/(CaO2 – CmvO2)
VO2 = Oxygen consumption CaO2 = Arterial content of oxygen CmvO2 = Mixed venous content of oxygen
Consumption of Oxygen
VO2 = Hb • (Sata - Satmv) X 1.34 • CO
Rearranged: Satmv = Sata – [VO2/ (Hb • 1.34 • CO)]
Arterial Content of Oxygen
CaO2 = [Hb • Sata • 1.34] + 0.003 • PaO2
Respiratory Quotient
RQ = VCO2/VO2
VCO2 = Elimination of CO2 VO2 = Oxygen consumption
Oxygen Delivery
DO2 = CaO2 • CO
CaO2 = Arterial content of oxygen
Oxygen Extraction Ratio
ER = VO2/DO2
Pulmonary Vascular Resistance
PVR = [(PAP-Wedge)/CO] • 80
PAP = Pulmonary Arterial Mean Pressure
Stroke Work
SW = Stroke volume • mean arterial pressure
Cardiac Index
CI = CO/BSA
Systemic Vascular Resistance
SVR = [(MAP-CVP)/CO] • 80
Starling Equation
Q = kA X [(Pc – Pi) + σ(πi-πc)]
Q = Net Fluid Filtration k = Capillary Filtration Coefficient (of water) A = Area of the Membrane σ = Reflection Coefficient (of albumin) Pc = Capillary Hydrostatic Pressure Pi = Interstitial Hydrostatic Pressure πi = Interstitial Colloid Osmotic Pressure πc = Capillary Colloid Osmotic Pressure.
Allowable Blood Loss
ABL = EBV X [(Hb – Minimum allowable Hb)/Hb]
EBV = Estimated Blood Volume
Cerebral Perfusion Pressure
CPP = MAP – ICP
Perfusion Pressure
PP = MAP – Venous Presure
Volume of Distribution
VD = Dose / Concentration
Half Life
Half-life = Volume of distribution / Rate of clearance
Clearance
Clearance = dose / area under time concentration curve
Clearance = (Urine concentration x Urine flow) / (Plasma concentration)
Opioid Conversions
Drug IV Oral
Morphine 10 mg 30 mg
Hydromorphone 1.5 mg 7.5 mg
Fentanyl 100 mcg NA
Codeine N/A 200 mg
Hydrocodone NA 30 mg
Oxycodone NA 20-30 mg
Gas Tanks (E)
Gas Volume Pressure
Oxygen 625 L 2200 psig
Nitrous Oxide 1590 L 745 psig
Incidence & Prevalence
Incidence = Number of occurrences / Sum of person-time at risk
Prevalence = Number of cases/ Number of individuals sampled
Measure of Effect
Absolute measure of effect = Rate Difference = Rate of risk exposed – Rate of risk not exposed
Relative measure of effect = Rate Ratio = Rate of risk exposed /Rate of risk not exposed
Sensitivity
Sensitivity = TP/ (TP + FN)
Specificity
Specificity = TN/ (TN + FP)
PPV
Positive Predictive Value = TP/ (TP + FP)
NPV
Negative Predictive Value = TN/ (TN + FN)
Odds Ratio
Odds Ratio = AD/BC
Relative Risk
Relative Risk = [A/(A+B)] / [C/(C+D)]
Number needed to Treat
NNT = 1 / ARR