Shunt vs. Dead Space vs. V/Q Mismatch | EXPLAINED | Respiratory Therapy Zone
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Shunt vs. Dead Space vs. V/Q Mismatch | EXPLAINED | Respiratory Therapy Zone
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Here's my rapid approach to shunt in the ICU.If a patient is on high FiO2 and still hypoxic, they are shunting (other forms of hypoxia respond to O2)Two options:1. Lung (most cases)2. CardiacIf normal chest x-ray, consider cardiac BUT remember that CXR is insensitive for consolidation and many patients have atelectasis and are just shunting through that.CXR→ Abnormal = treat lung→ Normal = go deeperBubble study→ Early bubbles = intracardiac shunt (e.g., Patent Foramen Ovale)→ Negative = proceedL
0:05
Here's my rapid approach to shunt in the ICU.If a patient is on high FiO2 and still hypoxic, they are shunting (other forms of hypoxia respond to O2)Two options:1. Lung (most cases)2. CardiacIf normal chest x-ray, consider cardiac BUT remember that CXR is insensitive for consolidation and many patients have atelectasis and are just shunting through that.CXR→ Abnormal = treat lung→ Normal = go deeperBubble study→ Early bubbles = intracardiac shunt (e.g., Patent Foramen Ovale)→ Negative = proceedL
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Usmle Wise on Instagram: "Shunt vs dead space Shunt vs Dead SpaceRespiratory PhysiologyV/Q MismatchGas ExchangeHypoxemiaPulmonary EmbolismAlveolar Dead SpaceAnatomical Dead SpaceOxygenationPulmonary PerfusionAtelectasisPulmonary Gas ExchangeUSMLE RespiratoryLung Pathophysiology . . . #medicaleducation #USMLE #medstudent #medicine #medicalschool #respiratoryphysiology #lungs #VQmismatch #anatomy #physiology #healthcare #doctor #medlife #studygram #medicalstudent #medschool #science #medicalknowle
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