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Interpreting Capnography: Phusioloy of Cannas: Phase I Anatomical deadspace; no exchange of gas uring erly phase of expiration 1 1 a2: During sis pase of pation gas exchange ceca tthe avec Minar of etonioa tate oniepoe 0 of oi i es eect secoa ee Aiphrangle: The Aipha angle shows the VQ satus of the lungs. The Bets angle shows rebreathing. ‘Nonna Cannoszan ‘Destessed Caine Out ‘Tension Pacumotora: aes ExCo2-28 Bco2-20 ‘When Co2 drops so does CO. ‘Tra patient, venlated, BP “Tis wil bea mechanical Watch out for this when you ‘O180, ne BS righ nd _eniated breath, havea tags patient probable decreased CO. ‘Caniac atest: (Trend) ‘corp: E1C02=36 ‘This usualy occurs when you Fane rescuer fatigue. I's now time 10 eta new erin ido the CPR, especialy i ExCa2 =<10. May also indicate hypotension, acute blood lessor FE “This classic reversal of phase I (downsioping is indicative ‘of permanent destruction of alveolar capillary beds. ‘Rebsaine: Sf LP Patentis waking up and taking sme spontaneous breaths. The large breaths are vent breaths, andthe salle breaths are spontaneous respirations. PEEP or CPAP: fA { \ Exco2-0 ‘Sudden foes of waveform in intubated patient may signal the ETT has become dislodged. May also indicate that ‘he patent as stopped beating. ‘Canliae mest Rebreating: (Trend) ‘Trend shows gradual elevation of baseline an opine. CO2 is ‘Rishi meinem intibaton is shows biphasic expiration, peak = R lung vetaion! gas exchange, 7 peak = et ‘Absense of any detetable CO? means you better rentbate Downward slope of plateau bens in with descending limb. May be indicative of leaky ETT or wach cul, o rel srway too Sl or he ptien's ache. increasing wih cach breath Tung exchange poor verilation, ‘Esapastal_ Inubaion: ‘Obst Airways 0, tea = E1c02=36 “Tis “sharks” shape indicative of asta, COPD, emphysema befor bronchodilator Hsnoventlion “May be indicative of muscle relaxants, hypothermia, decreased CO, PE, bronchospasm increased minute ‘vention, bad exhalation valve,

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