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Slides to accompany instructor notes. 2005
Hyperbarics Slides to accompany instructor notes. 2005
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See the absurd use of hyperbarics:
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Carbon Monoxide Poisoning
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Carbon Monoxide CO is a product of incomplete combustion that can build-up in poorly ventilated areas. The CO poisioned patient is nice and pink (at least not cyanotic) with tachycardia, tachypnea, possible drooping mouth and eyes, stupor, coma. >20% COHb can be fatal.
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Case Study:
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A man is found unresponsive
A man is found unresponsive. He had apparently been sleeping in a poorly ventilated mechanical closet adjacent to a building, he was keeping warm with a hibachi grill.
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Patient exposed to CO: Normal patient: Oxygenation PaO2 SaO2 Hb HR
90 mmHg SaO2 97% Hb 12 grams HR 80 bpm CaO2 15.9 SV 63 ml Q 5.04 L/m DO2 799.7 ml/min/m2 Click next to advance to next slide…
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Patient exposed to CO: Oxygenation Compensation PaO2 SaO2 Hb HR CaO2
CO-OX Report Hb (g) 12.0 SaO2% 72% COHB% 25% MetHB% 0.02 Patient exposed to CO: Compensation Oxygenation PaO2 90 mmHg SaO2 72% Hb 12 grams HR 80 bpm CaO2 11.8 SV 63 ml Q 5.04 L/m DO2 597.1 ml/min/m2 Click next to advance to next slide…
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Patient exposed to CO: Oxygenation Patient put on 100% O2 Compensation
PaO2 90 mmHg SaO2 72% Hb 12 grams HR 120 bpm CaO2 11.8 SV 63 ml Q 7.56 L/m DO2 895.7 ml/min/m2 Click next to advance to next slide…
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Patient exposed to CO: Oxygenation Patient put in HBO2 chamber
Patient put on 100% O2 Oxygenation PaO2 350 mmHg SaO2 72% Hb 12 grams HR 120 bpm CaO2 12.6 SV 63 ml Q 7.56 L/m DO2 954.6 ml/min/m2 Click next to advance to next slide…
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Patient exposed to CO: Oxygenation Patient put in HBO2 chamber PaO2
2000 mmHg SaO2 72% Hb 12 grams HR 80 bpm CaO2 17.6 SV 63 ml Q 5.04 L/m DO2 885.9 ml/min/m2
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Hyperbaric Wound Care
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