respiratory Flashcards

1
Q

rapid shallow breathing index

A

105 cut off Resp rate/Vt liters, e.g., rate 32/0.3L=106 too high

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2
Q

ECMO

A

VV-PaO2 determined by volume of blood through ECMO oxygenator relative to through pulm circulation–increase flow to increase PaO2; increase sweep gas flow to decrease pCO2–more gas leaves oxygenator
VA-for cardiac support

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3
Q

thrombolysis in PE

A

cardiac arrest and unstable w/o contraindication

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4
Q

dexdedetomidine

A

lower delirium, not lower hosp LOS or vent days

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5
Q

sedation bundle

A

ABCDE: Awakening and Breathing, Choosing sedation, delirium mgt (sleep, hydration, pain, vis/hearing), early mobilization and exercise

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6
Q

ECMO oxygenation

A

ECMO circuit + uncaptured venous return

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7
Q

Oxygen content, Oxygen delivery

A

CaO2=Hb x sat x 1.34 + PaO2 x 0.003

DO2= CO x (Hb x 1.34 ) x 10

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8
Q

transpulmonary pressure

A

Airway pressure - pleural pressure

transpulmonary pressure=risk of VALI

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9
Q

Acute eosinophilic pneumonia (AEP) dx criteria

A

acute onset febrile respiratory symptoms 25% eosinophils
no known cause of eos (e.g., drugs, infection)
Eos may be inc in blood and pleural fluid
Assoc with cigarette smoke

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10
Q

Succinylcholine contraindicatons

A
  • History of malignant hyperthermia
  • Hyperkalemia( but usualΔis small24hours
  • Prolonged immobility(16daysICU–37% riskK≥6.5)
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