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Respiratory acidosis is characterized by the body and the PH value of the decline in CO2 accumulation. Mainly due to reduced lung ventilation function; found in respiratory tract obstruction, pneumonia, atelectasis, chest and abdomen surgery, trauma. The fundamental method of treatment is to relieve airway obstruction and improve pulmonary ventilation function.
Symptoms:
1. Dyspnea, hypoventilation, fatigue, shortness of breath, cyanosis, headache, chest tightness. 2. Blood pressure, sometimes sudden ventricular fibrillation. 3. Delirium, stupor, coma.
Diagnosis based on:
1. Respiratory function of the affected medical history, such as respiratory obstruction pneumonia, atelectasis, pneumothorax and so on. 2. Breathing difficulties, shortness of breath, fatigue, cyanosis, headache, chest tightness, delirium, coma. 3. Blood gas analysis showed elevated PaCO2 and PH value of the decline.
Treatment:
Treatment principles 1. Lift the obstruction and improve pulmonary ventilation function. 2. Primary disease treatment.
The fundamental principle of drug treatment is to relieve airway obstruction and improve pulmonary ventilation function, can not breathe pure oxygen and the use of stimulants. Intensive use of THAM in the need to guard against the respiratory depression when the side effects.
Prevention of common sense:
Respiratory acidosis, airway obstruction mainly seen in the surgery and chest surgery or trauma. Therapy to relieve airway obst


ruction and improve pulmonary ventilation function-based. Chronic bronchitis, pneumonia and other respiratory insufficiency caused by internal diseases, respiratory acidosis is more common, as detailed in respiratory failure.
Overrespiratory acidosis is characterized by the body and the PH value of the decline in CO2 accumulation. Mainly due to reduced lung ventilation function; found in respiratory tract obstruction, pneumonia, atelectasis, chest and abdomen surgery, trauma. The fundamental method of treatment is to relieve airway obstruction and improve pulmonary ventilation function. Doubts suspected pulmonary atelectasis: is that the lung after birth had never filling the gas, which has been inflated lungs lose their gas should be called atelectasis, but because of years of habit, we are still in use is not lung Zhang word atelectasis lung volume is reduced by a variety of causes lung collapse, resulting in loss or reduction of the pulmonary respiratory function. Generalized atelectasis may include congenital and acquired atelectasis atelectasis. From the definition of atelectasis can be seen, where the elasticity of lung tissue caused by disappearance of the causes and impact of lung ventilation can cause atelectasis. 1, clinical manifestations. Dyspnea, hypoventilation, fatigue, shortness of breath, cyanosis, headache, chest tightness. 2. Blood pressure, sometimes sudden ventricular fibrillation. 3. Delirium, stupor, coma. Check auxiliary respiratory acidosis check box to limit the project to check the serum creatinine, blood urea nitrogen (BUN), blood gas and acid-base analysis, mainly when combined with other acid-base balance disorders in the blood biochemical examination to be done, in order to further clarify the cause Check the check box to limit the project, including serum creatinine, blood urea nitrogen (BUN), blood gas and acid-base analysis, and chest CT. Diagnosis is based . Respiratory function of the affected medical history, such as respiratory obstruction pneumonia, atelectasis, pneumothorax and so on. 2. Breathing difficulties, shortness of breath, fatigue, cyanosis, headache, chest tightness, delirium, coma. 3. Blood gas analysis showed elevated PaCO2 and PH value of the decline. 1 treatment. Lifting obstruction and improve pulmonary ventilation function. 2. Primary disease treatment. Note respiratory acidosis, surgery mainly seen in the respiratory tract obstruction and chest surgery or trauma. Therapy to relieve airway obstruction and improve pulmonary ventilation function-based. Chronic bronchitis, pneumonia and other respiratory insufficiency caused by internal diseases, respiratory acidosis is more common, as detailed in respiratory failure.
Over
Respiratory alkalosis is caused by losing too many pathophysiological changes of CO Etiology and pathogenesis
Primary factor is the hyperventilation, C0 2 emission rate faster than production, leading to C02 reduction, PaCO 2 also down.
First, central hyperventilation
(A) due to non-hypoxic factors hysteria psychosis hyperventilation syndrome; traumatic brain injury or disease: trauma, infection, tumor, cerebrovascular accident; poisoning: salicylates, Vice-aldehyde; temperature high environmental temperature; endogenous toxic metabolites: as hepatic encephalopathy, acidosis.
(B) factors that caused high-altitude hypoxia, altitude, diving, strenuous exercise such as hypoxia; obstructive pulmonary disease: pneumonia, interstitial lung disease, bronchial obstruction, pleural and thoracic disease, emphysema; insufficiency: heart failure, shock, severe anemia. Hypoxia stimulate the respiratory center and hyperventilation.
Second, peripheral hyperventilation ventilator mismanagement; thoracic or abdominal surgery, not because of pain deep breath; chest trauma, rib fractures; airway obstruction suddenly lifted. In addition, pregnancy or use of progesterone and other medications can cause hyperventilation.
Compensatory mechanism
C02 reduction, breathing shallow and slow, so that retention of C02, H2C03 rising compensation; when last longer, the reduction of renal row H, HC03 - discharge increased, HC03 - / H2C03 at a low level equilibrium (compensated respiratory alkalosis).
Clinical manifestations
Depending on the severity of alkalosis and the incidence of priorities may be. Typical performance of hyperventilation, breathing faster. Alkalosis may stimulate increased neuromuscular excitability, acute mild illness can have lips, limbs numbness, tingling, muscle trembling; severe vertigo, syncope, blurred vision, convulsions; may be associated with chest tightness, chest pain, dry mouth, abdominal distension, in an alkaline environment, reduce the oxyhemoglobin dissociation, tissue hypoxia, showed EEG and abnormal liver function.
Laboratory and other tests
PCO2 decreased, increased blood pH, CO2 binding capacity declined.
Diagnosis
1, the diagnostic criteria for acute respiratory alkalosis: PCO2 <4.67kPa (35mmHg), blood 7.45, AB 2, diagnostic criteria for chronic respiratory alkalosis: PCO2 <4.67kPa (35mmHg) or normal (full compensation), pH and more in the normal range, AB Differential Diagnosis
Due to various reasons, a common feature of respiratory alkalosis is hyperventilation. Hysteria caused by hyperventilation syndrome often easy to attract attention, but the high temperature, high fever, high altitude, caused by su

rgery and other easily overlooked. Identification of respiratory alkalosis with a history of the original disease. With blood gas analysis, and the reduction of CO2 binding differentiated from metabolic acidosis.
Treatment
Focus on prevention, such as the lifting of the concerns of patients with hysteria, rational oxygen, strengthening the management of ventilators, and other aggressive treatment of primary disease. Cover the nose and mouth with a paper bag outside the back to the patient exhaled C0 2 absorption has a role; forced to take a short breath method, with 5? 2 oxygen inhalation; 500mmg daily oral administration of acetazolamide in favor discharge HC0 3 -. Urgently strict monitoring in critically ill patients, emergency treatment conditions, circumstances, the available drugs block the spontaneous breathing and tracheal intubation for assisted breathing to slow down the respiration rate and reduced tidal volume. But the need for blood pH and PaC0 2 be closely monitored.

Coral

2011/11/27 10:09

. respiratory acidosis, patient stories, diagnostic guides, medical books excerpts online about respiratory acidosis. diagnostic checklist, medical .

Peggy

2011/12/10 14:59

respiratory acidosis - wrongdiagnosis.com

Myrna

2011/12/20 18:03

chronic respiratory acidosis occurs over a long period of time. losing weight may help prevent respiratory acidosis due to obesity (obesity-hypoventilation syndrome) .

Barton

2012/01/18 07:34

respiratory acidosis - shands healthcare

Carrie

2012/01/29 02:31

respiratory acidosis is a condition that occurs when the lungs cannot . losing weight may help prevent respiratory acidosis due to obesity (obesity-hypoventilation syndrome) .

Baird

2012/02/11 14:39

respiratory acidosis - symptoms, diagnosis, treatment of .

Marian

2012/02/24 07:48

respiratory acidosis is a clinical disturbance that is due to alveolar hypoventilation. in acute respiratory acidosis, the paco2 is elevated above the upper .

Hale

2012/03/03 18:47

online encyclopedia and dictionary - respiratory acidosis

Bert

2012/03/07 12:21

respiratory acidosis - overview, respiratory acidosis is a condition that occurs wh.

Blithe

2012/03/12 17:22

respiratory acidosis - university of maryland medical center

Thera

2012/03/20 04:29

obesity hypoventilation syndrome (ohs) respiratory acidosis is a condition that occurs when the lungs cannot remove all of the carbon dioxide the body produces.

Kittykitty

2012/03/28 09:57

respiratory acidosis: medlineplus medical encyclopedia

Dwight

2012/04/18 02:02

respiratory acidosis is a clinical disturbance that is due to alveolar hypoventilation. hypercapnia and respiratory acidosis occur when impairment in .

Fred

2012/04/23 23:39

respiratory acidosis - ask dr wiki

Dennis

2012/04/25 09:08

other conditions that may lead to respiratory acidosis include: obesity hypoventilation syndrome, excessive fatigue of the diaphragm or muscles .

Drew

2012/05/07 06:10

acidosis - respiratory

Myrna

2012/05/17 12:56

respiratory acidosis is primary increase in pco2 with or without . causes of hypoventilation are discussed under ventilatory failure (respiratory failure and mechanical .

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