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ApexRespiratory

Tools

RT Tools & Calculators

Every calculator shows its formula with the result, cites its sources on the page, and ships only after its test suite passes against published reference values. Practice tools score each round and explain every option.

Ventilator & Weaning Math

The numbers RTs run at the bedside — protective volumes, mechanics, and readiness to wean.

IBW / Predicted Body Weight

Calculator

Predicted body weight by the Devine/ARDSnet formulas with the full 4–8 mL/kg lung-protective tidal volume table.

FoundationalOpen →

Minute Ventilation Calculator

Calculator

V̇E = RR × VT with optional alveolar ventilation — normal ranges and what high or low values mean at the bedside.

FoundationalOpen →

Desired Minute Ventilation Calculator

Calculator

Set the ventilation to reach a target PaCO₂ — Desired V̇E = (Current V̇E × Current PaCO₂) ÷ Desired PaCO₂, with the rate to set (VT held constant), the formula shown, and an auto-PEEP caution.

IntermediateOpen →

Static & Dynamic Compliance

Calculator

Cstat, Cdyn, and airway resistance from ventilator pressures — separates stiff-lung problems from airway-resistance problems.

IntermediateOpen →

Airway Resistance (Raw) Calculator

Calculator

Airway resistance from ventilator pressures — Raw = (PIP − Pplat) ÷ flow (L/s), the L/min→L/s conversion and formula shown, with the intubated-adult reference range and the resistance-vs-compliance teaching contrast.

IntermediateOpen →

Driving Pressure (ΔP) Calculator

Calculator

The pressure swing the lung sees each breath — ΔP = Plateau − PEEP (and VT ÷ Cstat) with the ≤ 14–15 cmH₂O protective target, the formula shown, and the mortality association in ARDS.

IntermediateOpen →

Mean Airway Pressure (P̄aw) Calculator

Calculator

Mean airway pressure from ventilator settings — P̄aw = K × (PIP − PEEP) × (Ti/Ttot) + PEEP with the waveform constant (1.0 pressure-control, 0.5 constant-flow), the I:E derivation and formula shown, and the oxygenation-vs-barotrauma trade-off.

IntermediateOpen →

RSBI Calculator

Calculator

Rapid Shallow Breathing Index (f/VT) with the Yang-Tobin 105 threshold — weaning-readiness interpretation with the evidence cited.

IntermediateOpen →

Gas Exchange & Oxygenation

Interpret gases and quantify oxygenation in seconds, with every formula shown.

ABG Interpreter

Calculator

Stepwise arterial blood gas interpretation — primary disorder, compensation with Winter's formula and expected-compensation math shown, plus an oxygenation check.

IntermediateOpen →

P/F Ratio Calculator

Calculator

PaO₂ ÷ FiO₂ with Berlin-definition severity bands — mild, moderate, and severe ARDS ranges with the formula shown.

FoundationalOpen →

S/F Ratio Calculator (SpO₂/FiO₂)

Calculator

The noninvasive P/F surrogate — S/F = SpO₂ ÷ FiO₂ with the 2023 global-definition ARDS bands (315 / 235 / 148), the formula shown, and the critical SpO₂ ≤ 97% reliability caveat.

IntermediateOpen →

A–a Gradient Calculator

Calculator

Alveolar–arterial oxygen gradient via the alveolar gas equation, with age-expected normals and every step of the math shown.

IntermediateOpen →

Oxygen Content (CaO₂) Calculator

Calculator

Arterial oxygen content from hemoglobin, SaO₂, and PaO₂ — CaO₂ = (1.34 × Hb × SaO₂) + (0.003 × PaO₂), the formula shown, with the bound-vs-dissolved split and why content tracks hemoglobin, not PaO₂.

IntermediateOpen →

Physiologic Shunt (Qs/Qt) Calculator

Calculator

Intrapulmonary shunt fraction — the classic three-content Berggren equation Qs/Qt = (CcO₂ − CaO₂) ÷ (CcO₂ − CvO₂), or the estimated form with an assumed C(a-v)O₂, with the alveolar PO₂ derived and every oxygen content shown.

AdvancedOpen →

ROX Index Calculator

Calculator

Predict high-flow nasal cannula success — ROX = (SpO₂ ÷ FiO₂) ÷ RR with the validated 4.88 and 3.85 thresholds, the formula shown, and the trend-over-time caveat.

IntermediateOpen →

Oxygenation Index (OI) Calculator

Calculator

Severity of hypoxemic respiratory failure including ventilator support — OI = (FiO₂ × mean airway pressure × 100) ÷ PaO₂ with the PALICC pediatric ARDS bands and the ECMO-consideration threshold, the formula shown.

AdvancedOpen →

Dead Space Fraction (VD/VT) Calculator

Calculator

Bohr-Enghoff dead space — VD/VT = (PaCO₂ − P̄ECO₂) ÷ PaCO₂ with normal ranges, the formula shown, and what a markedly elevated value means (PE, ARDS, low cardiac output).

AdvancedOpen →

Practice & Quizzes

Board-style practice

Scored rounds with a rationale for every option. More banks ship as the library grows.

All Practice →

ABG Interpretation Quiz

Quiz

Drill arterial blood gas pattern recognition — read a fresh pH/PaCO₂/HCO₃ panel each round and name the primary acid-base disorder, with an instant rationale and scored ten-question rounds.

FoundationalStart →

PFT Pattern Quiz

Quiz

Drill pulmonary function test interpretation — read FEV₁, FVC, FEV₁/FVC, and TLC each round and name the pattern (obstructive, restrictive, mixed, or normal), with an instant rationale and scored ten-question rounds.

IntermediateStart →

Oxygenation & ARDS Severity Quiz

Quiz

Drill oxygenation severity — read a PaO₂ and FiO₂ each round, compute the P/F ratio, and classify the Berlin ARDS band (none, mild, moderate, or severe), with an instant rationale and scored ten-question rounds.

IntermediateStart →

Shock Type Quiz

Quiz

Drill shock classification — read a hemodynamic profile (CVP, PCWP, cardiac output, SVR) each round and name the shock category (hypovolemic, cardiogenic, obstructive, or distributive), with an instant rationale and scored ten-question rounds.

AdvancedStart →

ABG Compensation Quiz

Quiz

Drill the harder half of ABG interpretation — read a pH/PaCO₂/HCO₃ panel each round and judge the compensation status (uncompensated, partially compensated, fully compensated, or a mixed disorder), with an instant rationale and scored ten-question rounds.

AdvancedStart →

Ventilator Waveform Quiz

Quiz

Read fresh pressure, flow, and volume scalars each round and name the pattern — normal, increased airway resistance, decreased compliance, auto-PEEP, circuit/cuff leak, or flow starvation — with an instant rationale, the alarm each triggers, and scored ten-question rounds.

AdvancedStart →

Air-Entrainment (Venturi) Quiz

Quiz

Drill Venturi mask math — read a fresh FiO₂ (and O₂ flow) each round and compute the air-to-oxygen entrainment ratio or the total delivered flow from the formula, with an instant rationale and scored ten-question rounds.

IntermediateStart →

Capnography Waveform Quiz

Quiz

Drill EtCO₂ capnogram interpretation — read a fresh CO₂ waveform each round and name the pattern (normal, hypoventilation, hyperventilation, shark-fin obstruction, curare cleft, rebreathing, esophageal/absent, sudden loss, or ROSC), with an instant rationale and scored ten-question rounds.

IntermediateStart →

Ventilator Change from ABG Quiz

Quiz

Drill the interpretation-to-intervention step — read a fresh arterial blood gas and the current ventilator settings each round and pick the single best change (rate, FiO₂, or PEEP), with an instant rationale and scored ten-question rounds.

AdvancedStart →

Free TMC Practice Sampler

Quiz

Ten free NBRC TMC-style questions spanning all three matrix categories — patient data, equipment troubleshooting, and initiation & modification — across mechanical ventilation, ABG & acid-base, oxygen therapy, pharmacology, and airway, each with a rationale for every option.

FoundationalStart →