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8 Cards in this Set

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Reasons to tube: mechanical

1) RR _> 35/min


2) VC _< 15/kg (10/kg kids)


3) MIF _< 20 cm H20

Reasons to tube: oxygenation

1) PaO2_<70 mmHg on Fi 40%


2) A-a gradient _> 350 torr Fi 100%

Reasons to tube: ventilation

1) PaCO2_>55 (unless chronic)


2) Vd/Vt _> 0.6

Normal Qs/Qt

0.1

Alveolar gas equation!

PAO2 = (713 × FiO2) - (PaCO2/0.8)

Normal A-a gradient

10-20 mmHg

Hypoxemia with normal A-a gradient

1) Low FiO2


2) Hypoventilation

Normal anion gap acidosis

1) Bicarb wasting


2) Acid load


3) Saline admin


4) RTA - poor HCO3 resorb, Acid secretion