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Formulae

A central formula reference organised for CICM First Part revision.

Formula Library

All Formulae

Reusable formulae indexed from CICMWrecks master answers. Formula-specific notes, variables and units are added only after editorial review.

97 formulae

Abbreviated strong ion difference

Abbreviated SID (Na⁺ − Cl⁻)
CWF-0131
AbbreviatedSID=[Na+]−[Cl−]Abbreviated \; SID = [Na^+] - [Cl^-]
Choline+Acetyl-CoA→Choline acetyltransferaseAcetylcholine+CoACholine + Acetyl{-}CoA \xrightarrow{Choline\ acetyltransferase} Acetylcholine + CoA
PAO2=FiO2(PATM–SVPH2O)–PaCO2RERP_AO_2 \; = \; FiO_2 (P_{ATM} \; – \; SVP_{H2O}) \; – \; {{P_aCO_2} \over {RER}}

Arrhenius equation

Arrhenius equation
CWF-0022
k=Ae−EaRT.k = Ae^{-Ea \over RT}.
CaO2=(1.34×[Hb]×SaO2)+0.003(PaO2)C_aO_2 = (1.34 \times [Hb] \times S_aO_2) + 0.003(P_aO_2)
H++HCO3−⇌H2CO3⇌H2O+CO2H^+ \;+\; HCO_3^- \;⇌\; H_2CO_3 \;⇌\; H_2O \;+\; CO_2

Bohr equation

Bohr equation using alveolar PCO₂
CWF-0038
VDVT=PACO2−PE‾CO2PACO2{{V_D} \over {V_T}} = { {PA_{CO_2} \; - \; P\bar{E}_{CO_2}} \over {PA_{CO_2}}}

Boyle’s Law

CWF-0001
P∝1VP\;\propto\;{1\over V}

Capillary pressure — resistance relationship

Capillary pressure vs resistance ratio
CWF-0126
Pcap∝Post−capilresistPre−capilresistP_{cap} \; \propto \; {{Post-capil\;resist} \over {Pre-capil \; resist}}
CerebralBloodFlow(CBF)=CPPCVR=CerebralPerfusionPressureCerebrovascularResistanceCerebral \; Blood \; Flow \; (CBF) \; = {{CPP} \over {CVR}} = \; {{Cerebral \; Perfusion \; Pressure} \over {Cerebrovascular \; Resistance}}
CBF=CPPCVR=MAP−(greaterofCVPorICP)CVRCBF \; = {{CPP} \over {CVR}} = \; {{MAP - (greater \; of \; CVP \; or \; ICP)} \over {CVR}}
CPP=ADP−(largerofLVEDPorRAP)CPP \; = \; ADP \; - \; (larger \; of \; LVEDP \; or \; RAP)
Ptotal=P1+P2+P3+...+Pn≡∑i=1nPiP_{total}\;=\;P_{1}\;+\;P_{2}\;+\;P_{3}\;+\;.\;.\;.\;+P_{n}\;\equiv\;\sum_{i=1}^{n}\;P_{i}

Dead-space fraction identity

Dead-space fraction from Vₐ and Vₜ
CWF-0040
VDVT=VT−VAVT{{V_D} \over {V_T}} = { {V_T \; - \; V_A} \over {V_T}}
D=Diffusionconstant∝SolubilityMolecularWeightD=Diffusion\;constant\;\propto\;{{Solubility}\over{\sqrt{Molecular\;Weight}}}
CdO2=aO2×PO2C_dO_2 \; = \; a_{O_2} \; \times \; P_{O_2}
Cd∼ΔvolumeinitialΔtransmuralpressureC_d \; ∼ \; {{\Delta volume} \over {initial \; \Delta transmural \; pressure}}

Effective strong ion difference

Effective SID (SIDe)
CWF-0134
SIDe=[HCO3−]+[Alb−]+[Pi−]SIDe = [HCO_3^-] + [Alb^-] + [Pi^-]

Enghoff modification

Enghoff modification using arterial PCO₂
CWF-0039
VDVT=PaCO2−PE‾CO2PaCO2{{V_D} \over {V_T}} = { {Pa_{CO_2} \; - \; P\bar{E}_{CO_2}} \over {Pa_{CO_2}}}

Fick diffusion flux

Fick diffusion flux
CWF-0047
J=DAΔCTJ\;={{D\;A\;\Delta C}\over{T}}
Diffusionconstant=Solubility×ΔconcMolecularWeight×surfareathicknessDiffusion\;constant \; = \; {{Solubility \; \times \; Δ conc } \over {\sqrt{Molecular\;Weight}}} \; \times {{surf \; area} \over {thickness}}
Diffusion∝DiffusionCoefficient(Concentrationgradient×Surfacearea)ThicknessDiffusion \propto \;Diffusion\;Coefficient\;\:{(Concentration\;gradient\;×\;Surface\;area) \over Thickness}

Filtered Load

CWF-0112
FilteredLoad=GFR×plasmaconcentrationofsubstance(Px)Filtered \; Load \; = \; GFR \; \times \; plasma \; concentration \; of \; substance \; (Px)

Flow-pressure-resistance relationship

Pressure–flow–resistance relation
CWF-0104
Flow=PressureResistanceFlow \; = \; {Pressure \over Resistance}
FO2Hb=oxy−Hboxy−Hb+deoxy−Hb+carboxy−Hb+met−HbFO_2Hb \; = \; {{oxy-Hb} \over {oxy-Hb \; + \; deoxy-Hb \; + \; carboxy-Hb \; + \; met-Hb}}
[Na+]A×[Cl−]A=[Na+]B×[Cl−]B[Na^+]_A \;\times\; [Cl^−]_A \;=\; [Na^+]_B \;\times\; [Cl^−]_B
E=R.TFln⁡PK[K+]o+PNa[Na+]o+PCl[Cl−]iPK[K+]i+PNa[Na+]i+PCl[Cl−]oE(mV) \;=\; {{R.T} \over {F}} \; \ln \; {{P_K[K^+]_o \; + \; P_{Na}[Na^+]_o \; + \; P_{Cl}[Cl^-]_i } \over { P_K[K^+]_i \; + \; P_{Na}[Na^+]_i \; + \; P_{Cl}[Cl^-]_o }}

Graham’s Law

CWF-0004
Diffusion∝1MWDiffusion\;\propto\;{1 \over \sqrt{MW}}
FRC=V1(FHe,1FHe,2−1)FRC = V_1 \left( \frac{F_{He,1}}{F_{He,2}} - 1 \right)

Henry’s Law

CWF-0005
p=kHcp\;=\;k_{H}\;c

Hepatic clearance — extraction ratio

Flow × extraction ratio
CWF-0017
ClHep=QH×ERHepCl_{Hep} \; = \; Q_{H} \; \times \; ER_{Hep}

Hepatic clearance — well-stirred model

Well-stirred model
CWF-0018
ClHep=QH×FU×ClIntQH+FU×ClIntCl_{Hep} \; = \; Q_{H} \; \times \; {{FU \; \times \; Cl_{Int}} \over {Q_{H} \; + \; FU \; \times \; Cl_{Int}}}
ERHep=FU×ClIntQH+FU×ClIntER_{Hep} \; = \; {{FU \; \times \; Cl_{Int}} \over {Q_{H} \; + \; FU \; \times \; Cl_{Int}}}

Left ventricular wall stress

Preload relation
CWF-0085
Preload=(LVEDP−ITP)×LVEDR2hPreload \; = \; {{{(LVEDP \; - \; ITP)} \times LVEDR} \over {2h}}
Rateofelimination=δPδt=Vmax×SKm+S{Rate\;of\;elimination}={{\delta P} \over {\delta t}}={{V_{max} \times S} \over {K_m + S}}

Nernst equation

CWF-0124
E=R.Tz.Fln⁡[ion]outside[ion]insideE(mV) \;=\; {{R.T} \over {z.F}} \; \ln {{[ion]_{outside}} \over {[ion]_{inside}}}

Net filtration pressure

Net filtration pressure
CWF-0111
NFP=[(PGC−PT)−σ(πGC−πT)]NFP ={ [(P_{GC} - P_T) - \sigma \; (\pi_{GC} - \pi_T)]}

Parallel vascular resistance

Parallel vascular resistances
CWF-0106
1SVR=1R1+1R2{1 \over SVR} = {1 \over R_{1}} \; + \; {1 \over R_{2}}
Diffusion∝1MolecularWeight×SurfaceAreaThickness×ΔconcentrationDiffusion\;\propto{{1\over\sqrt{Molecular Weight}} \times {Surface\;Area \over Thickness} \times \Delta concentration}

Poiseuille flow

Hagen–Poiseuille flow equation
CWF-0006
Q˙=ΔPR=(πr4.ΔP)8ηL\dot{Q} = {\Delta P \over R} = {(π\;r^4.\;\Delta P) \over{8\;η\;L}}

Poiseuille resistance

Poiseuille resistance
CWF-0056
R=8ηlπr4R\;=\;{8\;η\;l \over {π\;r^4}}
R=Pulsatile660/Non−Pulsatile660Pulsatile940/Non−Pulsatile940R \; = \; { {Pulsatile_{660} \; / \; Non-Pulsatile_{660} } \over { Pulsatile_{940} \; / \; Non-Pulsatile_{940} } }
RenalBloodFlow=Renalarterialpressure−RenalvenouspressureRenalvascularresistanceRenal \; Blood \; Flow \; = \; {{Renal \; arterial \; pressure \; - \; Renal \; venous \; pressure} \over {Renal \; vascular \; resistance}}
RelativeHumidity=absolutehumidity(actual)inthegasabsolutehumidity(saturated)atthattemperatureRelative \, Humidity \, = \, {{absolute \, humidity \, (actual) \, in \, the \, gas} \over {absolute \, humidity \, (saturated) \, at \, that \, temperature}}
RenalDrugClearance=Urine[Drug]×VPlasma[Drug]{Renal\;Drug\;Clearance} = { {Urine\; [Drug] \times V} \over {Plasma\; [Drug]} }

Renal oxygen delivery

Renal oxygen delivery
CWF-0114
Oxygendelivery=RenalBloodflow×CaO2Oxygen \; delivery \; = \; Renal \; Blood \; flow \; \times \; CaO_2
Naexcretion=Na+filtered−Na+reabsorbedNa \; excretion \; = \; Na^+ \; filtered \; - \; Na^+ reabsorbed

Respiratory compliance

Compliance = ΔV / ΔP
CWF-0071
Compliance=ΔVΔPCompliance \; = \; {{\Delta \, V} \over {\Delta \, P}}

Respiratory-system compliance

Combined respiratory compliance
CWF-0074
1RespiratoryCompliance=1LungCompliance+1ChestWallCompliance{{1} \over {Respiratory \, Compliance}} \; = \; {{1} \over {Lung\, Compliance}} + {{1} \over {Chest \, Wall\, Compliance}}

Reynolds number

CWF-0028
Re=2rρvη=diameter×density×velocityviscosityRe\;={\;2\;r\;ρ\;v\;\over η}={diameter\;\times\;density\;\times\;velocity\;\over viscosity}

Right ventricular output

Right ventricular output
CWF-0086
RightVentricularOutput=CORight \, Ventricular \, Output \, = \, CO

Shunt equation

CWF-0075
Qt(CaO2)=Qns(CcO2)+Qs(CmvO2)Q_t (C_aO_2) \; = \; Q_{ns} (C_cO_2) \; + \; Q_s (C_{mv}O_2)
Qt×CaO2=(Qt−s×CcO2)+(Qs×CMVO2)Q_t \times C_aO_2 \;\; = \;\; (Q_{t-s} \times C_cO_2) \;\; + \;\; (Q_s \times C_{MV}O_2)

Starling fluid flux

Starling fluid flux
CWF-0125
Jv=κ([Pcapil−Pinterstit]−σ[πplasma−πinterstit])J_v={\kappa \; ([P_{capil} - P_{interstit}] - \sigma \; [\pi_{plasma} - \pi_{interstit}])}

Systemic oxygen delivery

Systemic oxygen delivery
CWF-0098
DO2=CO×CaO2DO_2 \; = \; CO \; \times C_aO_2

Systemic vascular resistance

SVR from MAP, CVP and CO
CWF-0105
SVR=MAP−CVPCOSVR \; = \; {{MAP \; - \; CVP} \over CO}
%Efficiency=UsefulWorkTotalenergyexpended(O2cost)×100%\% \; Efficiency \; = \; {{Useful \, Work} \over {Total \, energy \, expended \, (O_{2} \, cost)}} \; \times \; {100 \, \%}

Transpulmonary pressure

Transpulmonary pressure
CWF-0072
ΔP=Alveolar−Intrapleuralpressure\Delta \, P \; = \; Alveolar \; - \; Intrapleural \; pressure
HPO42−+H+⇌H2PO4−HPO_4^{2-} + H^+ \rightleftharpoons H_2PO_4^-
UBF=(UAP−UVP)UVRUBF \; = \; {{(UAP \; - \; UVP)} \over {UVR} }
Osmoticpressure(π)=nRT×cMOsmotic \; pressure \; (\pi) \; = \; {{nRT \times c} \over {M}}
Vasculardistensibility=increaseinvolumeIncreaseinpressure×originalvolumeVascular \; distensibility \; = {{increase \; in \; volume} \over {Increase \; in \; pressure\; \times \; original \; volume}}
Vd=AmountofdruginbodyPlasmaconcentrationVd = {{Amount\;of\;drug\;in\;body} \over {Plasma\; concentration\;}}

West Zone 1

CWF-0079
PA>Pa>PvP_A \; > \; P_a \; > \; P_v

West Zone 2

CWF-0080
Pa>PA>PvP_a \; > \; P_A \; > \; P_v

West Zone 3

CWF-0081
Pa>Pv>PAP_a \; > \; P_v \; > \; P_A

West Zone 4

CWF-0082
Pa>Pi>Pv>PAP_a \; > \; P_i \; > \; P_v \; > \; P_A