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הבדיקה הגופנית של חולה במצוקה נשמתית – פתופיזיולוגיה נשמתית

הבדיקה הגופנית של חולה במצוקה נשמתית – פתופיזיולוגיה נשמתית. דר' פאולו פרישו החטיבה להרדמה בית חולים סורוקה.

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הבדיקה הגופנית של חולה במצוקה נשמתית – פתופיזיולוגיה נשמתית

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  1. הבדיקה הגופנית של חולה במצוקהנשמתית – פתופיזיולוגיה נשמתית דר' פאולו פרישו החטיבה להרדמה בית חולים סורוקה

  2. The mechanical function of the respiratory system is to accomplish Alveolar Ventilation.Its main homeostatic responsibility is the maintenance of normal levels of O2, CO2 and pH in blood.

  3. Some Respiratory Acronyms • PaO2 - Partial Arterial Pressure of O2 • PAO2 - Partial Alveolar Pressure of O2 (BarP-47) * FiO2 - PaCO2 • SpO2 - Pulse oximetry • PaCO2 - Arterial Partial Pressure of CO2 • PETCO2 - End Tidal CO2 Pressure • Vt - Tidal Volume • RR - Respiratory Rate • Vm - Minute Volume • Va - Alveolar Ventilation • FiO2 – Fractioned Inspiratory O2

  4. הבדיקה הגופנית של חולה במצוקה נשימתית

  5. History

  6. Physical Examination

  7. Use your eyes, ears, nose, handsand devices.

  8. Devices Stethoscope Pulse Oximeter Capnograph

  9. SpO2 Interpretation What are the limitations of SpO2? What is the meaning of a SpO2 of 100%?

  10. Capnography TraceWhat are its uses?

  11. Auscultation

  12. Percussion

  13. Palpation

  14. Assess Consciousness Behavior Color Sweat Speech Work of Breath

  15. Cyanosis Interpretation Is a hypoxemic patient always cyanotic? Can a patient with a normal PaO2 be Cyanotic?

  16. Work of Breath

  17. Respiratory RateTachypnea Bradypnea

  18. Respiratory Pattern

  19. What is the pattern of the respiratory disorder caused by opiates?

  20. What is the pattern of the respiratory change caused by metabolic Acid-Base disorder?

  21. Respiratory Sounds 1

  22. Respiratory Sounds 2

  23. Respiratory Sounds 3

  24. Respiratory Sounds 4

  25. פתופיזיולוגיה נשימתית

  26. Spirometry

  27. Ventilation Software Respiratory center • pH • PaCO2 • PaO2 • Pain (Stress) • Drugs

  28. Ventilation Hardware Diaphragm and Chest wall muscles, Lung tissue and Airway conduits

  29. Ventilation Physics ΔP Compliance Resistance Dead space

  30. VA/Q Match

  31. DO2 ≈ CO.Hb.SaO2

  32. Hemoglobin Dissociation curve

  33. BicarbonatepH ≈ CO2

  34. Pathologies

  35. Infectious diseasesMalignanceTrauma Lung contusion, pneumothorax, hemothorax Upper airway AtelectasisMetabolic Acidosis, Sepsis, feverPulmonary Edema Cardiac CNS Post ObstructiveChemical Injury Smoke inhalation, hot air inhalation, AspirationObstruction, upper and lower airways Asthma, COPD, foreign body, malignance, allergy, laryngospasmARDSCardiac diseases Heart failure Pleural effusion Drugs Opiates, Benzodiazepines

  36. For Unicellular life it is easy! CO2 O2

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