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When and how to start enteral nutrition Deranged Physiology

WebAll the guidelines support the use of early enteral nutrition. Bowel sounds and flatulence are unreliable signs of gut health, but they seem to enjoy ongoing use as …

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URL: https://derangedphysiology.com/main/required-reading/endocrinology-metabolism-and-nutrition/Chapter%205113/when-and-how-start-enteral-nutrition

Causes and physiological effects of hypoxaemia Deranged …

WebHypoxaemia is an abnormally low concentration of oxygen in arterial blood, whereas hypoxia is the failure of tissue oxygenation. There ar numerous physiological …

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Open and closed models of intensive care units Deranged …

WebThe question of who is actually responsible for the decisionmaking in intensive care is an ongoing debate in critical care medicine. Traditionally in Australia the …

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The loop of Henle Deranged Physiology

WebThe loop of Henle comprises two major areas of physiological importance. The water-permeable thin descending limb concentrates the tubular fluid by reabsorbing …

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Outcome measures Deranged Physiology

WebSurrogate outcomes. Things like inflamatory markers, noradrenaline dose, cardiac output, and so forth. Things which are important to those ICU nerds, but perhaps …

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Consequences of metabolic acidosis Deranged Physiology

WebThis topic has never come up in the CICM fellowship exam. Likely, it is reserved for the primaries. Consequences of Metabolic Acidosis Respiratory …

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Anatomy of the heart Deranged Physiology

WebThis chapter is relevant to Section G1(i) of the 2023 CICM Primary Syllabus, which asks the exam candidate to "describe the anatomy of the heart including the …

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Interpreting the shape of the flow-volume loop Deranged …

WebTypically, when one thinks of flow-volume loops, one refers to the classical loops of forced expiratory spirometry. Most of what is written about flow-volume loops …

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Fundamental gas laws relevant to critical care medicine

WebBoyle's Law: For a fixed mass of gas at constant temperature, the pressure ( P) and volume ( V) are inversely proportional, such that P ×V = k, where k is a constant. …

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Physiological effects of high and low barometric pressure

WebPhysiological consequences of high altitude are related mainly to the hypoxic environment which is seen at altitudes greater than 2700m above sea level. Hypoxia …

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Properties and contents of cerebrospinal fluid Deranged Physiology

WebThe biochemical properties of CSF: low in protein and high in chloride. Protein in the CSF: With intracranial bleeding: for every 100 RBCs you get a 0.01g/L increase in …

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Care for the post-pneumonectomy patient Deranged Physiology

WebPneumonectomy and its complications have not enjoyed very much attention in the CICM fellowship exam. Historic instances of their appearrance in the exam papers …

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Advantages and limitations of non-invasive ventilation

WebThe non-cardiopulmonary effects of positive pressure ventilation include raised intracranial pressure, water retention, sodium retention, decreased renal …

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Musculoskeletal History and Exam

WebTHE ELBOW LOOK: expose whole arm; watch pt. undress - Swelling @ olecranon (bursitis) - Gout nodules (translucent, firm and mobile ) - RA nodules (hard, tender and attached) - …

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Types of bias in medical research Deranged Physiology

WebIt would be hard to say that the college love this, but it has certainly showed up in the exams of late: Question 26 from the first paper of 2014 and Question 5 from the …

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Conflict resolution in the setting of professional medicine

WebSaltman et al (2006) define conflict as "a disagreement within oneself or between people that causes harm or has the potential to cause harm". This, of course, is …

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The actual bicarbonate value Deranged Physiology

WebActual bicarbonate is the concentration of hydrogen carbonate in the plasma. The ABG machine usually reports this as cHCO3-(P). It is a derived variable. One is …

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Critical illness due to high altitude Deranged Physiology

WebPathophysiology. Hypoxia at altitude leads to hypoxic pulmonary vasoconstriction. Hypoxic pulmonary vasoconstriction leads to raised pulmonary arterial …

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