List the differential diagnoses for this dog’s respiratory status
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Answer all parts of this question:
a) List the differential diagnoses for this dog’s respiratory status. Provide a
justification for each differential. (6 marks)
b) The dog does not improve with supplemental oxygen. List the indications for
mechanical ventilation in this patient. Include a calculation of the A-a gradient.
(4 marks)
c) Explain the technique and the potential advantages and disadvantages of using
high flow nasal oxygen in place of mechanical ventilation in this patient.
(7 marks)
d) Explain the open lung approach to ventilation, include in your answer
descriptions of airway pressure release ventilation (APRV) and high frequency
oscillatory ventilation HFOV). Describe the potential advantages and
disadvantages of each technique in this patient. (8 marks)
You intubate and mechanically ventilate this dog, and during mechanical
ventilation obtain concurrent arterial and mixed venous blood gases, as well as
measurements using a pulmonary artery catheter. The tidal volume is 240 mL
and the dogs ETCO2 is 42 mmHg. FiO2 = 0.6.
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