Confident Care Academy on Instagram: "Protective lung ventilation for patients with obstructive lung disease include: -Low tidal volumes (6-8mL/kg IBW) -Prolonged expiratory time -Cautious use of PEEP (5-8cm H2O) -Careful monitoring of airway pressures. When possible, understanding the patient’s baseline pCO2 and comparing it with their end-tidal CO2 can help guide ventilation strategies and target ETCO2 goals. #anesthesia #crna #criticalcarenurse #icunurse #nursingstudent"
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Right hand ≠ foot by accident. Preductal sats reflect what the brain and heart receive. Postductal sats reflect what the lower body gets after ductal mixing. And if your pulmonary pressures are high, you’ll get blue mixing with pink, lowering your post-ductal saturation. #oxygen #nicu #nursingschool #nnp #newborn
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Amanda’s NICU Education on Instagram: "🫀 Pre vs Post-Ductal O₂ Sats • Right hand = pre-ductal • Foot = post-ductal • Normal: ≤3% difference • Pre > Post by >3–5%? Think right-to-left shunting Why it matters 👇 If the gradient is persistent, expect an echocardiogram to evaluate structural heart disease vs pulmonary hypertension. Have you ever seen the post greater than the pre?? Comment below if you know what defect can result in this “reverse differential cyanosis” #NICUnurse"
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