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Respiratory Acidosis
RESPIRATORY ACIDOSIS
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A Primary increase in arterial PaCO2
leading to decrease in arterial pH .
It could be Acute or Chronic
Causes :
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Alveolar hypoventilation
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V/P mismatching
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Ventilation Perfusion Mismatching
Alveolar Hypoventilation
RESPIRATORY ACIDOSIS
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ABG finding in repiratory acidosis
PH PCO2 HCO3
Acute
Decrease
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increased normal
Chronic o r
compensated
Normal increased increased
Clinical manifestation :
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[...]...:Treatment Treatment of repiratory acidosis aimed primarily at : Correction of underlying cause ( COPD,asthma, pulmonary embolism ….( And Ensuring adequate ventilation :Roles in management in management of patient with respiratory acidosis >>> we don’t give him 100% oxygen to not suppress the respiratory center Also , sedatives , narcotics are contraindicated... unless we will put the pt on ventilator Bicarbonate therapy considered when PH fall below 7.1 Rapid and complete correction may lead to posthypercapnic alkhalosis > specially in patient with chronic respiratory acidosis .
Respiratory Acidosis
RESPIRATORY ACIDOSIS
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A.
Ventilation Perfusion Mismatching
Alveolar Hypoventilation
RESPIRATORY ACIDOSIS
7$ 89:!
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Ngày đăng: 25/01/2014, 17:20
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