Respiratory acidosis: Difference between revisions

No edit summary
Line 8: Line 8:
#Pleural dz
#Pleural dz
#Trauma  
#Trauma  
==Treatment==
#Improve alveolar ventilation
##Bronchodilators
##CPAP
##Intubation (esp of pH < 7.25)
###Do not reduce pH too quickly (>5Hg/h)
####Can lead to abrupt hypocalcemia/hypokalemia


==Source ==
==Source ==

Revision as of 03:27, 27 April 2011

Background

Cause = Hypoventilation

DDX

  1. COPD
  2. Drugs (opiods)
  3. Chest wall dz
  4. Pleural dz
  5. Trauma

Treatment

  1. Improve alveolar ventilation
    1. Bronchodilators
    2. CPAP
    3. Intubation (esp of pH < 7.25)
      1. Do not reduce pH too quickly (>5Hg/h)
        1. Can lead to abrupt hypocalcemia/hypokalemia

Source

2/21/06 DONALDSON (adapted from Tintinalli)