Respiratory Acidosis

See ABG 
* Note: Chronic well compensated Respiratory acidosis may be confused with metabolic alkalosis
* Common etiologies include entities that can contribute to a buildup of CO2 such as COPD, Pneumonia CNS depression, Pulmonary Edema, Cardiopulmonary arrest, Airway or Chest wall injury, & Sedatives, and Neuromuscular dz; 
* Note: these entities may have Synergistic Effects (ie. in combinations the effects are enough to tip in the pateint into acute Resp Acidosis); 
* The HCO3 will be normal in the early stages of a simple Respiratory Acidosis, but will increase in Chronic Acidosis as the body tries to compensate for the high pCO2; 
* Note: Mixed Acid Base Disorders: 
              - Patients w/ COPD & Cor Pulmonale & requiring diruretic will frequently develope Met Alk (from diuretic) as well as Resp Acidosis from CO2 retention.

Original Text by Clifford R. Wheeless, III, MD.

Last updated by Data Trace Staff on Tuesday, September 4, 2012 12:08 pm