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8 1 年年理療類療理 ˍˍˍˍˍˍˍ 不 80 1.25 2 不 1 Allen s test 來 Femoral artery Radial artery Axillary artery Brachial artery 2 55 來量識 150/90 mmhg 124/ 25/ 38 ph 7.28 PCO 2 70 mmhg PO 2 35 mmhg HCO 3-36 meq/l SaO2 66% 列不療類 3 V T 1000 ml PEEP 5 cmh 2 O 力 35 cmh 2 O 力 plateau pressure 30 cmh 2 O static compliance 25 ml/ cmh 2 O 33.3 ml/ cmh 2 O 40 ml/ cmh 2 O 50 ml/ cmh 2 O 4 Volume ventilation 列狀力 peak inspiratory pressure 降流力降降降 5 列不力量力力力量 6 力 peak inspiratory pressure 力 plateau pressure 路力力 7 量 metered dose inhaler 療列 2 離 wye connector 90 cm 離 wye connector 8 permissive hypercapnia ph 7.10 7.15 7.20 7.25 9 PCV f 12/min PCV 25 cmh 2 O PEEP 15 cmh 2 O FiO 2 0.85 ph 7.45 PCO 2 36 mmhg PO 2 55 mmhg 理 PCV 30 cmh 2 O f 15/min prone position PEEP 20 cmh 2 O 10 塞神刺 prednisolone 茶利尿 Ca ++ K + Na + Mg ++ 11 療療沈量量 1-3% 4-6% 7-10% 11-15% 12 料 P B = 747 mmhg Hb 10 g/dl FiO 2 1.0 PaO 2 85 mmhg PaCO 2 40 mmhg ph 7.36 SaO 2 94% P V O 2 39 mmhg S V O 2 70% R.Q. respiratory quotient 0.8 流 shunt 24% 28% 34% 38%

8 2 13 列 25 神刺 14 A-aDO 2 年 76 A-aDO 2 10 mmhg 14 mmhg 19 mmhg 23 mmhg 15 extracorporeal membrane oxygenation 來狀來行 Arteriovenous Venovenous Venoarterial Veno-reno-arterial 16 760 率 high frequency oscillation Paw 18 cmh 2 O FiO 2 0.30 f 15 Hz Amplitude 度 34 cmh 2 O ph 7.54 PCO 2 25 mmhg PO 2 85 mmhg 列降度 amplitude 降數降 P aw 狀 17 力 Drive to Breathe airway occlusion pressure(p 100 ) vital capacity 量 maximal voluntary ventilation maximal inspiratory pressure 18 流 flow-volume curve 列 Flow 數降 O Volume 流 19 力力 pressure-volume curve 理療 sensitivity 降 Volume Pressure 20 assist-control ventilation 力 pressure time curve Raw 12 cmh 2 O/L/sec Cst 30 ml/cmh 2 O 力列 V T Pressure flow rate 率 PEEP 降 Time

8 3 21 列不力 PSV 5-12 ml/kg 降數 25 降 PaCO 2 45 mmhg 降 22 力 pressure control 力流 23 力 P A 力 P a 力 P V 不 zone 列 zone 3 P a P V P A P A P a P V P a P A P V P A P V P a 24 列不來 Pulse oximetry Capnography 25 列 flow rate 路漏 V T 降 PEEP Respiratory inductance plethysmography Transcutaneous PO 2 measurement 26 力 plateau pressure 量量量量 + 27 50 料 mode volume control V T 700 ml Peak pressure 30 cmh 2 O Plateau pressure 20 cmh 2 O f 12/min PEEP 5 cmh 2 O Tubing compliance 3 ml/cmh 2 O 590 ml 610 ml 640 ml 685 ml 28 Heliox 來療 80 20 流量流量 10 L/min 流量 12 14 16 18 29 V T 600 ml PIP 40 cmh 2 O P plat 25 cmh 2 O PEEP 5 cmh 2 O 流 flow 60 L/min 力 10 cmh 2 O/L/sec 15 cmh 2 O/L/sec 20 cmh 2 O/L/sec 25 cmh 2 O/L/sec 30 列離 index 量 15 ml/kg 理 PaO 2 /FiO 2 200 RSI 100 V D /V T 70% 31 若列 duration of action onset Diazepam Valium Lorazepam Ativan Midazolam Dormicum Propofol Diprivan

8 4 32 optimum PEEP PEEP 5 cmh 2 O Volume 10 cmh 2 O (L) 15 cmh 2 O 20 cmh 2 O 0.6 0.2 5 10 15 20 (cmh 2 O) Pressure 33 PEEP PEEP FiO 2 PaO 2 B.P. P v O 2 (cmh 2 O) (mmhg) (mmhg) (mmhg) 1:00 +5 1.0 43 125/90 28 1:30 +10 1.0 57 120/85 33 2:00 +15 1.0 104 120/85 38 2:30 +20 1.0 143 100/70 31 PEEP 5 cmh 2 O 10 cmh 2 O 15 cmh 2 O 20 cmh 2 O 34 P v O 2 mixed venous partial pressure of O 2 25 mmhg 28 mmhg 30 mmhg 35 mmhg 35 PEEP 降 5 mmhg 10 mmhg 15 mmhg 20 mmhg 36 流 flow sheet 列料 V T PIP P plat (cmh 2 O) (cmh 2 O) 1:00 850 ml 36 33 2:00 850 ml 37 32 3:00 850 ml 43 33 列惡力力 37 cuff 列力 25 mmhg 5 ml 1:1.2 力 38 150 年 V T 700 ml f 14/min FiO 2 0.40 ph 7.50 PaCO 2 26 mmhg PO 2 88 mmhg 列 100 ml wye connector FiO 2 降數 NH 4 Cl 39 力 PSV 力降 5 cmh 2 O 度 sensitivity 流數

8 5 40 列 permissive hypercapnia 力不 41 力 pressure support ventilation 列 PSV 力 pressure-cycle PSV 流 flow cycle PSV volume trigger PSV volume cycle 42 mechanical component pneumatic component electronic component 流 fluidic component 43 65 女識度兩 ph 7.48 PCO 2 30 mmhg PO 2 45 mmhg 列不療利尿療 CPAP 44 3 力 -40-60 mmhg -60-80 mmhg -80-100 mmhg -100-120 mmhg 45 離量力漏量力 46 列量 ventilation P E CO 2 V T PaCO 2 V& A alveolar ventilation 47 Bird VIP sensor Graseby capsule Hot wire anemometer Variable orifice pneumotach Chest leads 48 capnogram 列路漏降降數 49 列神 neuro-muscular blocking agent 易塞 calcium channel blocker 類 50 65 塞識識復 ph 7.51 PCO 2 45 mmhg PO 2 86 mmhg FiO 2 0.3 兩路 Valium Albuterol Pancuronium Haloperidol

8 6 51 列不 sigh 狀 10 52 60 數 30 FiO 2 0.4 100 mmhg 流 flow waveform 流 constant flow 降流 decelerating flow 流 accelerating flow 流 sinusoid flow 53 ACV 流 40 L/min I:E ratio 不量 V& E 數流 54 列年 V T 8 ml/kg 理 f 12/min V T 10 ml/kg 理 f 12/min V T 12 ml/kg 理 f 10/min V T 10 ml/kg 理 f 10/min 55 positive pressure ventilation 肋列力肋 CMV 肋 SIMV 肋肋 PEEP 肋 56 來說 I:E 不良 1:1 1:2 1:3 1:4 57 列 Alarm AARC level 1 路漏 / 58 PEEP 量 FRC 降 A-aDO 2 葉流 59 列 Auto-PEEP auto-peep 力力力量 FRC 降 60 力 pressure control ventilation 列參數 parameter 不數 respiratory rate 力 airway pressure 流 flow rate 61 stridor 列行 epinephrine 療 62 50 7.0 mm 量量 16 L/min 力 pressure support level cmh 2 O 5 cmh 2 O 8 cmh 2 O 11 cmh 2 O 15 cmh 2 O

8 7 63 塞易 auto-peep 量 V E1 V E1 易 10 ml/kg 15 ml/kg 20 ml/kg 25 ml/kg 64 離 PaO 2 / FiO 2 200 P 0.1 6 cmh 2 O P imax -20~30 cmh 2 O 65 control mechanical ventilation / assist/control mechanical ventilation 力 pressure support ventilation 力 pressure control ventilation 66 combined time curve 狀流量 flow rate PEEP 數 67 pulmonary artery wedge pressure 2-5 mmhg 6-12 mmhg 13-18 mmhg 19-24 mmhg 68 論塞力 plateau pressure 不 25 cmh 2 O 30 cmh 2 O 35 cmh 2 O 40 cmh 2 O 69 列 heat moisture exchanger 度年數 70 度 25-27 28-31 32-34 35-37 71 24 肋力 PIP 23 cmh 2 O 25 cmh 2 O 27 cmh 2 O 29 cmh 2 O

8 8 72 SIMV V T 800 ml f 8/min PIP 50 cmh 2 O P plat 40 cmh 2 O ventilator V & 60 L/min 數 12/min 流 30 L/min PSV 力 PSV level 3 cmh 2 O 5 cmh 2 O 8 cmh 2 O 10 cmh 2 O 73 Siemens Servo 900 C Halmilton Veolar PEEP Under water column Balloon valve Electro-mechanical valve Spring-loaded diaphragm 74 CMV V T 800 ml f 10/min 5 流 24 L/min 36 L/min 48 L/min 64 L/min 75 10 gm/dl PaO 2 65 mmhg SaO 2 91% 量 4.8L 量 oxygen delivery 633 ml/min 725 ml/min 783 ml/min 897 ml/min 76 55 來來量 2 30 年識 150/90 mmhg 124/ 25/ ph 7.28 PCO 2 70 mmhg PaO 2 35 mmhg SaO 2 66% A-aDO 2 20 25 27 30 77 FiO 2 0.35 ph 7.38 PCO 2 48 mmhg PO 2 50 mmhg PaO 2 90mmHg PaCO 2 不 FiO 2 0.45 0.50 0.55 0.60 78 連 nasal CPAP 不列狀葉 79 數 time constant 63% 87% 95% 98% 80 離療 V T 350 ml f 24/min MIP -25 cmh 2 O 兩 T-piece 不良 ph 7.41 PCO 2 38 mmhg PO 2 90 mmhg FiO 2 30% 列療 6 不 6