View Full Chapter Figures Only Tables Only Videos Only Print Share Email Send Email Your Name (required) ! Example: John Doe Email Address (required) ! Please enter a valid sender email address. Example: firstname.lastname@example.org CC Me Recipient Email Address (required) ! Separate multiple email address with semi-colons (up to 5). Subject Subject for your email. Message (Maximum characters: 1,000) Please enter your name Please enter your email address Please enter a valid recipient email address. Example:email@example.com Submit Cancel Thank you! Your email has been sent to: The recipient(s) will receive an email message that includes a link to the selected article. Recipients may need to check their spam filters or confirm that the address is safe. Return to: Send Another Email An error has occurred sending your email(s). Please try again later or contact an administrator at OnlineCustomer_Service@mheducation.com. Return to: Twitter Facebook Linkedin Reddit Get Citation Citation AMA Citation Acidosis, Respiratory. In: Doherty GM. Doherty G.M. Ed. Gerard M. Doherty.eds. Quick Answers Surgery New York, NY: McGraw-Hill; 2010. http://accesssurgery.mhmedical.com/content.aspx?bookid=853§ionid=49661974. Accessed June 29, 2017. MLA Citation . "Acidosis, Respiratory." Quick Answers Surgery Doherty GM. Doherty G.M. Ed. Gerard M. Doherty. New York, NY: McGraw-Hill, 2010, http://accesssurgery.mhmedical.com/content.aspx?bookid=853§ionid=49661974. Download citation file: RIS (Zotero) EndNote BibTex Medlars ProCite RefWorks Reference Manager © Copyright Tools Search Book Top Return Clip Acidosis, Respiratory + Essential Features Print Section + • Inadequate respiration• Carbon dioxide accumulation ++ Epidemiology + • Etiologies include:-Acute airway obstruction-Aspiration-Respiratory arrest-Pulmonary infections-Pulmonary edema-Over sedation-Chronic respiratory failure + Clinical Findings Print Section ++ Symptoms and Signs + • Somnolence• None if chronic and well compensated ++ Laboratory Findings + • Decreased serum pH (< 7.35)• Increased Pco2 + Diagnostic Considerations Print Section + • Causes may be neurologic, mechanical, or rarely from diffusion abnormality• May be acute or chronic + Work-up Print Section + • ABG measurements• Plain chest film if pneumothorax is suspected or if endotracheal tube malposition or other anatomic consideration is of concern + Treatment and Management Print Section + • Restoration of adequate ventilation• Intubation, if necessary• Chronic-rapid correction may lead to severe metabolic alkalosis (post-hypercapneic metabolic alkalosis) ++ Surgery ++ Indications + • If unable to intubate, cricothyroidotomy may be necessary ++ Medications + • Sodium bicarbonate (rarely)• Narcotic antagonists• Benzodiazepine antagonists ++ Treatment Monitoring + • Serial ABG measurements ++ Complications + • Coma• Death ++ Prognosis + • Excellent if reversed quickly• Varies with etiology ++ Prevention + • Avoid over sedation + Resources Print Section ++ References ++Adrogue HJ et al. Management of life-threatening acid-base disorders. (Two parts.) N Engl J Med. 1998;338:26, 107.