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ABG Interpretation

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1. ABG Interpretation

ABG Interpretation ABG Interpretation Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 ABG Interpretation ABG Interpretation Aka: ABG (...) search on the term "ABG Interpretation." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Related Topics in Pathology and Laboratory Medicine About FPnotebook.com is a rapid access, point-of-care medical reference for primary care and emergency clinicians. Started in 1995, this collection now contains 6656 interlinked topic pages divided into a tree of 31 specialty books and 728 chapters. Content is with systematic literature

2018 FP Notebook

2. ABG Interpretation

ABG Interpretation ABG Interpretation Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 ABG Interpretation ABG Interpretation Aka: ABG (...) search on the term "ABG Interpretation." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Related Topics in Pathology and Laboratory Medicine About FPnotebook.com is a rapid access, point-of-care medical reference for primary care and emergency clinicians. Started in 1995, this collection now contains 6656 interlinked topic pages divided into a tree of 31 specialty books and 728 chapters. Content is with systematic literature

2015 FP Notebook

3. Guidelines for the use and interpretation of assays for monitoring autophagy (3rd edition) Full Text available with Trip Pro

Guidelines for the use and interpretation of assays for monitoring autophagy (3rd edition) 26799652 2016 10 19 2019 01 18 1554-8635 12 1 2016 Autophagy Autophagy Guidelines for the use and interpretation of assays for monitoring autophagy (3rd edition). 1-222 10.1080/15548627.2015.1100356 Klionsky Daniel J DJ boc University of Michigan , Department of Molecular , Cellular, and Developmental Biology , Ann Arbor , MI , USA. bog University of Michigan, Life Sciences Institute , Ann Arbor , MI

2016 Autophagy

4. The complex acid-base problem – my interpretation

clinical sense and also fits with the elevated BUN/creatinine and the hypokalemia. 3. Finally she clearly has a primary respiratory alkalosis, secondary to a markedly increased A-a gradient. Further information Her blood cultures grew MSSA – and she had a progressive downward spiral over the next 12 hours. She was on appropriate antibiotics and received the proper overall care. Share this: Like this: Like Loading... Comments (1) Cory said on 30-07-2015 it is always better to interpret the ABG (...) The complex acid-base problem – my interpretation db's Medical Rants » Blog Archive » The complex acid-base problem – my interpretation Internal medicine, American health care, and especially medical education 1 Posted by rcentor | Posted on 30-07-2015 Category : Patient had been feeling poorly for a few days with progressive dyspnea and weakness. Denied fever, chills or sweats. No past medical history – had avoided physicians for more than 40 years. 141 96 36 105 2.8 20 1.5 On 2 liters nasal

2015 db's Medical Rants blog

5. Should the Roth score be used in the remote assessment of patients with possible COVID-19?

gas would be better), but pulse oximetry correlates fairly well with ABG. Was the diagnostic test evaluated in an appropriate spectrum of patients (like those a clinician would see in practice)? Not in relation to the use case we are considering (assessment of ?COVID-19 patients over the phone). First, nobody in the sample had COVID-19. Second, nobody with a SpO 2 reading below 92% was included. Third, the patients in the test sample had already been admitted to hospital (i.e. the diagnostic (...) words?” “Are you breathing harder or faster than usual when doing nothing at all?” “Are you so ill that you’ve stopped doing all of your usual daily activities?” Focus on change. A clear story of deterioration is more important than whether the patient currently feels short of breath. Ask questions like “Is your breathing faster, slower or the same as normal?” “What could you do yesterday that you can’t do today?” “What makes you breathless now that didn’t make you breathless yesterday?” Interpret

2020 Oxford COVID-19 Evidence Service

6. Accuracy of self-monitoring heart rate, respiratory rate and oxygen saturation in patients with symptoms suggestive of COVID-19 infection

with saturation levels in the normal range but performed less well among those with hypoxia. The scientific basis for the use of smartphone apps for this purpose is questionable and so we would not recommend their use for measuring oxygen saturation. These findings should be interpreted with caution due to the very small number of studies available. There was no evidence on home monitoring of respiratory rate. COVID-19 Accuracy of self-monitoring V1.0 25/03/2020 2 | P a g e UoB_COVID19004 What does (...) Author (year) Inclusion criteria Number Summary of results Risk of bias Tayfur (2019) 2 Population: patients presenting at the emergency service that required an arterial blood gas (ABG) evaluation due to chronic obstructive pulmonary disease, congestive heart failure, acute dyspnea, pneumonia, and multiple trauma. Index test: Samsung Health application (model code SM-G950F and version 6.1.0.047) using a Samsung Galaxy S8 smartphone. Reference standard: vital signs monitor (VSM) and an arterial blood

2020 Covid-19 Ad hoc papers

7. Management of Poisoning

for respiratory depression (pulse oximetry and/or ABGs) (pg 140). Grade D, Level 3 D Haemodialysis, haemoperfusion, forced diuresis and exchange transfusion are unlikely to be useful following overdose, because of the relatively large volume of distribution and high degree of protein binding. (Ziprasidone, clozapine) (pg 140). Grade D, Level 3 D Treat seizures with IV benzodiazepines (pg 140). Grade D, Level 3 C Neuroleptic Malignant Syndrome should be treated with oral or parenteral dantrolene (pg 141

2020 Ministry of Health, Singapore

8. Recognition and Initial Management of Fulminant Myocarditis: A Scientific Statement From the American Heart Association Full Text available with Trip Pro

of the pericardium also. Chest x-ray Complete blood cell count, including differential Basic metabolic panel CPK, CK-MB, cTn Natriuretic peptide ABG or VBG, lactate LFTs Blood cultures (for febrile patients) ABG indicates arterial blood gas; AMI, acute myocardial infarction; CK-MB, creatine kinase-mF; CPK, creatine phosphokinase; cTn, cardiac troponin; FM, fulminant myocarditis; LFT, liver function test; and VBG, venous blood gas. The emergency department staff should be aware of hospital resources and consider (...) -arterial; IVIG, intravenous immunoglobulin; LVEF, left ventricular ejection fraction; NYHA, New York Heart Association; and Tn, troponin. * unique identifier. Single-center experiences and case reports of various immunomodulatory therapies have been difficult to interpret because many patients will recover spontaneously with general heart failure management. For example, in the Myocarditis Treatment Trial, the use of cyclosporine and steroids was associated with an improvement in LVEF

2020 American Heart Association

9. Venous Thromboembolism (VTE)

. Symptoms and signs alone are not adequately sensitive or specific for diagnosis or exclusion of DVT but clinical likelihood estimation based on symptoms and signs is a necessary step in the testing strategy [IA]. Venous color duplex doppler ultrasound imaging. This imaging is the standard for diagnosis [IA]. Pulmonary embolism D-dimer testing must be interpreted in the context of pretest probability [1C]. D-dimer testing alone is not adequately sensitive or specific to diagnose or exclude PE [IIIC (...) , May 2014 Table 1. Glossary of Abbreviations aPTT Activated Partial Thromboplastin Time APS Antiphospholipid antibody syndrome ABGs Arterial Blood Gases BNP B-type natriuretic peptide CVA Cerebrovascular accident CTEPH Chronic thromboembolic pulmonary hypertension CTA Computed tomography angiography CTV Computed tomographic venography COCs Estrogen-containing combined oral contraceptives DVT Deep venous thrombosis GSV Great saphenous vein HIT Heparin-induced thrombocytopenia HRT Hormone replacement

2020 University of Michigan Health System

10. Home mechanical ventilation for patients with Amyotrophic Lateral Sclerosis: A CTS Clinical Practice Guideline

weakness is present. However, in one older study, when FVC falls to less than 50% predicted, survival was lim- ited to nine months with most patients dying by six months. 47 Other authors have also noted the poor prognosis of patients with FVC 0.3mV of greater than 2years. It was also found that a Pamp 65% of predicted. Of note, however, the authors comment that patients in the “early” group frequently, though not always, had pulmonary function or ABG abnormalities that would have qualified them (...) to six months from time of diagnosis (consensus based), depending on the anticipated rapidity of disease progression, including the following: (a) Symptom review to include orthopnea, dyspnea, poor sleep, excessive daytime sleepiness, poor concentration, morning headache (GRADE 1C) (b) Measurement of sitting FVC or SVC (GRADE 1B) (c) Measurement of one or more of the following as a more sensitive measure of inspiratory muscle weakness: supine VC, SNP, MIP (GRADE 1C) (d) Measurement of ABG, Capillary

2019 Canadian Thoracic Society

11. Primary postpartum haemorrhage

and confidential discussion. This includes the use of interpreter services where necessary · Ensuring informed consent is obtained prior to delivering care · Meeting all legislative requirements and professional standards · Applying standard precautions, and additional precautions as necessary, when delivering care · Documenting all care in accordance with mandatory and local requirements Queensland Health disclaims, to the maximum extent permitted by law, all responsibility and all liability (including (...) than Refer to online version, destroy printed copies after use Page 4 of 35 Queensland Clinical Guideline: Primary postpartum haemorrhage Abbreviations ABG Arterial blood gas APTT Activated partial thromboplastin time CCT Controlled cord traction CI Confidence interval CS Caesarean section Hb Haemoglobin FBC Full blood count FFP Fresh frozen plasma GP General Practitioner IOL Induction of labour INR International normalised ratio LAM List of approved medicines (QH) MHP Massive haemorrhage protocol

2019 Queensland Health

12. Guidance For: Prone Positioning in Adult Critical Care

loss or damage arising from actions or decisions based on the information contained within this publication. Ultimate responsibility for patient safety with regards to the treatment of patients and the interpretation of the published material lies with the attending physician. The opinions expressed are those of the authors and the inclusion in this publication of material relating to a particular product or method does not amount to an endorsement of its value, quality, or the claims made

2019 Faculty of Intensive Care Medicine

13. Critical Foundation

1,2,3,9,11,12,13,19 Understand the principles and take part in discussions regarding end of life care and DNAR decisions 2,3,4,6,7,10,17 Appreciate the importance and anticipate the impact chronic disease can have on treatment choices 2,3,7,10,13,16 Understand the importance of addressing nutritional needs in critically ill patients 2,10,13 Improve investigative & interpretation skills including blood results, ABGs, CXR, ECG, PFTs 2,9,10,12,14,19 All 15 Core Procedures attainable 14 11 An EWTD/Junior Doctors

2019 Faculty of Intensive Care Medicine

14. CRACKCast E178 – Co-Morbird Medical Emergencies During Pregnancy

these conditions balancing risks to both mother and fetus. Shownotes – Key Concepts The physiologic demands of pregnancy may cause previously occult medical conditions to become apparent and known problems to deteriorate rapidly. The physiologic adjustments of pregnancy alter the normal ranges for certain laboratory values. The adjusted values need to be considered in the interpretation of results. The possibility of pregnancy should be considered in the differential diagnosis of certain conditions, including (...) in pregnancy: 7.40/32/-/19. Don’t let that pseudonormal ABG fool you. Also, remember that we must keep the SP02 > 95%! Anyone with a PEF < 50% predicted is having a severe asthma exacerbation Tidal volume and minute ventilation increase by 45% over the course of pregnancy resulting in an average Pco2 of 32 mm Hg. The kidneys compensate and maintain an average bicarbonate level of 19 mEq/mL, which results in a compensated respiratory alkalosis with a serum pH between 7.40 and 7.45. An initial fetal

2018 CandiEM

15. CRACKCast E169 – Paediatric Respiratory Emergencies: Lower Airway Obstruction

review of randomized controlled trials has failed to support this practice. Potential adverse effects from the use of IV SABAs are substantial and include dysrhythmias, hypertension, and hypokalemia. IV SABAs should not be used, except for impending respiratory failure, where the risk-benefit ratio shifts toward their use. Mechanical ventilation One should assess the entire clinical picture, including illness severity, response to therapy, and ABG results. However, the ABG results should not be used (...) To adequately interpret a therapeutic trial, clinicians should ascertain adherence to asthma therapy, inhalation technique and parental report of monitored symptoms, at an appropriately timed medical reassessment. When to Refer to a Specialist: Recommended in children 1-5 yo with diagnostic uncertainty, suspicion of comorbidity, poor symptom and exacerbation control despite ICS at daily doses of 200-250 mpg, a life-threatening event (requiring ICU / intubation) and/or allergy testing to assess the possible

2018 CandiEM

16. BTS guideline for oxygen use in adults in healthcare and emergency settings.

who use oximeters must be trained in their use and made aware of the limitations of oximetry. (Oximetry is a valuable clinical tool but subject to artefact and errors of interpretation.) Arterial and Capillary Blood Gases For critically ill patients or those with shock or hypotension (systolic blood pressure <90 mm Hg), the initial blood gas measurement should be obtained from an arterial sample (see sections 7.1.3, 8.4 and 8.5 in the original guideline document). For most patients who require (...) blood gas sampling, either arterial blood gases (ABGs) or arterialised earlobe blood gases may be used to obtain an accurate measure of pH and PCO 2 . However, the PO 2 is less accurate in earlobe blood gas samples (it underestimates the PO 2 by 0.5-1 kPa) so oximetry should be monitored carefully if earlobe blood gas specimens are used and a repeat arterial specimen should be taken if there is any concern about the accuracy of a capillary sample ( grade D ). Local anaesthesia should be used for all

2017 National Guideline Clearinghouse (partial archive)

17. CRACKCast E124 – Acid-Base Disorders

CRACKCast E124 – Acid-Base Disorders CRACKCast E124 - Acid-Base Disorders - CanadiEM CRACKCast E124 – Acid-Base Disorders In by Adam Thomas November 6, 2017 This episode of CRACKCast covers Rosen’s Chapter 124, Acid Base Disorders. This chapter covers a simple approach to acid base disorders and ABG interpretation, including the differential diagnosis for the identified disorders & treatment options. Shownotes – Key Point Patients with an acute severe metabolic acidosis rely on a robust (...) : There are a bunch of very helpful worksheets on this site, including the 1-2-3-4-5 rule for determining if there has been an adequate metabolic compensation for resp. acidosis/alkalosis. But here’s the approach from LITFL: (and a worksheet from them below) Interpret the ABGs in a stepwise manner: 1. Determine the adequacy of oxygenation (PaO2) Normal range: 80–100 mmHg (10.6–13.3 kPa) 2. Determine pH status Normal pH range: 7.35–7.45 (H+ 35–45 nmol/L) pH <7.35: Acidosis is an abnormal process that increases

2017 CandiEM

18. Tales of the Bellevue Hospital Internal Medicine House Staff from the ?60s to Now

, some things about Bellevue have not changed: the Emergency Department and H building, the bright colors adorning the hallways, and the antiquated phones. Indeed, the Bellevue phones likely date back to the opening of the H building in 1975, and still require a measure of dexterity with the phone cords for adequate communication. Having experienced seven hospitals in New York, this writer for one finds it quite magical to work in a place so full of history, and with unquestionably the best ABG (...) syringes and phone interpreters around. Conclusion What struck me the most in this project was the consistency between my interviewees’ stories for each decade. I expected vastly different versions of the same events – à la Raymond Queneau’s Exercise in Style – that I would need to miraculously piece together. Instead, their uniformity nicely illustrates the spirit of camaraderie between residents; they lived the same experiences together. Hearing these stories from the house staff of the ‘60s through

2017 Clinical Correlations

19. CRACKCast E073 – Asthma

recognition and treatment of a recurrent attack and develop an “asthma action plan” for recurrent symptoms Know how to interpret how bad your patient’s asthma is at baseline!!! Looking for more info: check out [1] 10 different causes of a wheeze [2] List 8 risk factors for death from asthma [3] List 6 objective findings of severe asthma [4] 10 therapies for an acute severe asthma exacerbation Let us break this down into treatments supported by: Good evidence Sketchy evidence No evidence/not recommended (...) himself has come up with a different approach to approaching the patient in respiratory extremis. [2] What about pregnancy and asthma is so important? Pregnant woman have increased O2 demand, decreased FRC, and baseline hyperventilation that is compensated for by a metabolic acidosis. ABGs in pregnancy normally show a pH 7.4-7.45 with a paCO2 of 28-32. So easy to miss the tiring, hypercapnia in pregnancy with a “normal” gas of 7.35 and PCO2 of 35-45. Pay attention to the CLINICAL PICTURE! This post

2017 CandiEM

20. CRACKCast E090 – Liver and Biliary Tract

a UTI, GI or Lung infection. These patients may require intraperitoneal antibiotic administration. Other ascitic labs may also help: Protein, LDH, glucose, CE antigen, ALP, gram stain and culture. Rural tip: ***may also use a urine leukocyte esterase test strip to screen the fluid; if it’s positive there is a high likelihood that the ascitic fluid has a significant neutrophil count.*** Other positive findings: pH <7.34 pH gradient between ABG and ascites fluid SAAG – serum ascites albumin fluid (...) production, absorption, entry into the brain Dehydration Portosystemic shunting Vascular occlusion Primary HCC 4) What are the typical investigations performed on ascites fluid? What is the serum ascites albumin gradient (SAAG) and how is it interpreted? “The SAAG is easily calculated by subtracting the ascitic fluid albumin value from the serum albumin value, which should be obtained the same day. The SAAG generally does not need to be repeated after the initial measurement. The presence of a gradient

2017 CandiEM

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