Acute Respiratory Failure

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USMLE Step 2 (2e Respiratory Failure) Pulmonology Fichas sobre Acute Respiratory Failure, creado por Aaron Samide el 24/05/2016.
Aaron Samide
Fichas por Aaron Samide, actualizado hace más de 1 año
Aaron Samide
Creado por Aaron Samide hace más de 8 años
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Criteria for acute respiratory failure (2) Hypoxia (PaO2 < 60) Hypercapnia (PaCO2 > 50)
Cause of V/Q mismatch Defect in either alveolar ventilation (e.g., pulmonary edema) or perfusion (e.g., PE)
V/Q mismatch typically leads to _________ without _________. Hypoxia without hypercapnia
V/Q mismatch vs. shunt: Which is responsive to supplemental oxygen V/Q mismatch
Causes of shunts (3) - Atelectasis - Fluid buildup in alveoli (pulmonary edema, pneumonia) - Congenital heart disease (R-to-L flow)
Alveolar-arterial oxygen difference (A-a gradient) is normal when __________ is the cause of hypoxemia. It is increased in most other causes. hypoventilation
Low-flow oxygen delivery systems (2) Nasal cannula Simple face mask
Flow rate (L/min) and max FiO2 for low-flow O2-delivery systems Nasal cannula: 1-6 L/min; up to 40% FiO2 Simple face mask: 5-10 L/min; 40-60% FiO2
High-flow oxygen delivery systems (3) Venturi mask Nonrebreathing mask High-flow nasal cannula
Flow rate (L/min) and max FiO2 for high-flow O2-delivery systems Venturi mask: 4-10 L/min - up to 40% FiO2 Nonrebreathing mask: up to 15 L/min - up to 70-90% FiO2 High-flow nasal cannula: up to 40 L/min - up to 40% FiO2
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