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    This document discusses various respiratory calculations used in kettering NRP. It describes the alveolar air equation for measuring oxygen in the alveoli, the A-a gradient for measuring inequalities in gas exchange, and the PaO2/PAO2 ratio which is increased with right-to-left shunts, V/Q mismatches or hypoventilation. It also outlines the shunt equation for calculating intrapulmonary shunting and criteria for surfactant administration. The oxygen index measures ventilator support required for oxygenation levels, and the PaO2/FiO2 ratio determines ALI or ARDS based on lung transfer efficiency. Finally, it discusses the deadspace ratio measuring inequalities

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    This document discusses various respiratory calculations used in kettering NRP. It describes the alveolar air equation for measuring oxygen in the alveoli, the A-a gradient for measuring inequalities in gas exchange, and the PaO2/PAO2 ratio which is increased with right-to-left shunts, V/Q mismatches or hypoventilation. It also outlines the shunt equation for calculating intrapulmonary shunting and criteria for surfactant administration. The oxygen index measures ventilator support required for oxygenation levels, and the PaO2/FiO2 ratio determines ALI or ARDS based on lung transfer efficiency. Finally, it discusses the deadspace ratio measuring inequalities

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    78 views1 page

    Nrpequations

    Uploaded by

    api-301249532
    This document discusses various respiratory calculations used in kettering NRP. It describes the alveolar air equation for measuring oxygen in the alveoli, the A-a gradient for measuring inequalities in gas exchange, and the PaO2/PAO2 ratio which is increased with right-to-left shunts, V/Q mismatches or hypoventilation. It also outlines the shunt equation for calculating intrapulmonary shunting and criteria for surfactant administration. The oxygen index measures ventilator support required for oxygenation levels, and the PaO2/FiO2 ratio determines ALI or ARDS based on lung transfer efficiency. Finally, it discusses the deadspace ratio measuring inequalities

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    © All Rights Reserved
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    Respiratory Calculations

    Kettering NRP

    Alveolar Air Equation


    PAO2 = FIO2(PB-47) - 1.2(PaCO2)
    Measuring the partial pressure of Oxygen in
    the alveoli.

    A-a Gradient
    A-aDO2

    PaO2/PAO2 Ratio

    PAO2 - PaO2
    Increased means R-L Shunt,
    V/Q Mismatch, or Alveolar
    hypoventilation

    Shunt Equation Qs/Qt


    Qs/Qt = (A-aDO2 x .003)
    (A-aDO2) x .003 + C(a-v)O2
    *Normal Anatomic Shunt is 5%
    For every 100 torr of (A-aDO2) add
    an additional 5%
    Ex. 5% + 200 torr (15%) = 15

    Used as criteria for


    Surfactant Administration
    <.21 administer Surfactant
    Increased = Good
    Decreased = Bad

    Oxygen Index

    PaO2/FiO2 Ratio

    OI = MAP x FiO2 x 1000


    PaO2
    Measures amount of vent
    support required to provide
    level of oxygenation obtained.

    Used to determine ALI or


    ARDS; measures efficiency
    of oxygen transfer across
    the lung.
    <300 mmHg ALI
    <200 mmHg ARDS

    (VD/VT) Deadspace to Tidal Volume Ratio


    PaCO2 - PeCO2 x 100
    PaCO2

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