 Effective Serum Osmolality (mOsm/L) = 2Na+ + 2K+ + Glucose + Urea (all in mmol/L)

 Corrected serum Na+ = Measured serum Na+ + [(Glucose measured - 5.6)/5.6] x 2.4 (all in
mmol/L)
 Corrected Ca2+ = Ca2+ + 0.02(40 – albumin)
 Anion Gap = ( Na+ + K+ ) – (HCO3- – Cl- ) *normal : 3-11 mmol/L
 IBW
Female : 45.5 + 0.91( height – 152 cm )
Male : 50 + 0.91( height – 152 cm )
 ABW = IBW + 0.4 ( Actual weight – IBW )
 Caval Index ( IVC calculation %)
Max Diameter IVC on expiration – Min Diameter IVC on expiration X 100 %
Max Diameter IVC on expiration
 MAP
Systolic BP + 2 ( Diastolic BP ) * normal : 65 – 110 mmHg
3
 IVI Inotropes
1. IVI Noradrenaline 0.02 – 1.5 mcg/kg/min
( 4mg diluted in 50 cc NS / D5 )
2. IVI Dopamine 5-20 mcg/kg/min
( 200 mg diluted in 50 cc NS / D5 )
3. IVI Dobutamine 3 – 5 mcg/kg/min *max : 20 mcg/kg/min
( 250 mcg diluted in 50 cc NS / D5 )
 NIV Setting
Mnemonic - MOVEAIR
o M - MODE (e.g. AC / SIMV etc)
o O - OXYGEN (FiO2 - fraction of inspired oxygen)
o V - VOLUME (Vt - tidal volume)
 Normal lung 8 - 10ml/kg
 COPD 6 - 8ml/kg
 ARDS 4 - 6ml/kg
o E - EXPIRATORY (PEEP - Positive End-Expiratory Pressure)
 Start with 5cmH20
o A - Adequate Sedation
o I - Inspiratory time (I:E ratio - Inspiratory to Expiratory)
o R - (RR - Respiratory rate)
 ARDS Acute Respiratory Distress Syndrome
o Pa02 / Fio2 i.e. Carrico index
 200 - 300 = mild (acute lung injury)
 100 - 200 = moderate
 <100 = severe