Archive for November, 2011
Respiratory acidosis can result from: * Central nervous system(CNS) trauma,
* Chronic Obstructive Pulmonary Disease (COPD),
* Drugs such as narcotics, anesthetics, hypnotics, and sedatives
* Chronic metabolic alkalosis with respiratory compensatory mechanisms
* Neuromuscular disease, such as myasthenia gravis, Guillain- Barre` syndrome, and poliomyelitis
* Airway obstruction
* Severe Adult respiratory distress syndrome (ARDS)
* Extensive pneumonia
* Large pneumothorax
* Pulmonary edema
Prognosis depends on the severity of the underlying disturbance aswell as on the patient’s general clinical condition.
Symptoms:
CNS effects include:
Restlessness
Confusion
Apprehension
Unnatural drowsiness (somnolence)
Motor disturbance (asterixis)
Cardiovascular effects include:
* Possible tachycardia
* hypertension
* Possible atrial and ventricular dysrythmias
* In severe acidosis, possible hypotension with vasodilation(bounding pulse)
Treatment:
Effected treatment aims to correct the underlying source of alveolarhypoventilation.
Treatment for underlying conditions includes: * Bronchodilators,
* Oxygen
* Antibiotics/Drug therapy
* Dialysis – to remove toxic drugs, and correction of metabolicalkalosis





