Hypercapnia - Revision history

ClaireLewis: /* References */

2019-10-12T16:04:39Z

References

← Older revision		Revision as of 16:04, 12 October 2019
Line 40:		Line 40:

	[[Category:Pulmonary]]		[[Category:Pulmonary]]
	[[category:critical ~~care~~]]		[[category:critical Care]]

ClaireLewis at 16:43, 29 September 2019

2019-09-29T16:43:17Z

← Older revision		Revision as of 16:43, 29 September 2019
Line 5:		Line 5:

	==Clinical Features==		==Clinical Features==
	*[[Headache]], confusion, lethargy, [[seizure]], coma		*[[Headache]], [[confusion]], [[lethargy]], [[seizure]], [[coma]]
	*Extreme hypercapnia (acute elevation >100) can result in cardiovascular collapse		*Extreme hypercapnia (acute elevation >100) can result in [[shock\|cardiovascular collapse]]

	==Differential Diagnosis==		==Differential Diagnosis==
	*Depressed central respiratory drive		*Depressed central respiratory drive
	**Structural CNS disease: brainstem lesions		**Structural CNS disease: brainstem lesions
	**Drug depression of respiratory center: opioids, sedatives, anesthetics		**Drug depression of respiratory center: [[opioids]], [[sedatives]], anesthetics
	**Endogenous toxins: tetanus		**Endogenous toxins: [[tetanus]]
	*Thoracic cage disorders		*Thoracic cage disorders
	**Kyphoscoliosis		**Kyphoscoliosis
	**Morbid obesity		**Morbid [[the obese patient\|obesity]]
	*Neuromuscular impairment		*Neuromuscular impairment
	**Neuromuscular disease: myasthenia gravis, Guillain-~~Barré~~		**Neuromuscular disease: [[myasthenia gravis]], [[Guillain-Barre]]
	**Neuromuscular toxin: organophosphate ~~poisoning~~, botulism		**Neuromuscular toxin: [[organophosphate toxicity]], [[botulism]]
	*Intrinsic lung disease associated with increased dead space		*Intrinsic lung disease associated with increased dead space
	**[[COPD]]		**[[COPD]]
Line 26:		Line 26:
	*[[ABG]]		*[[ABG]]
	**HCO3 increases 1 mEq/L for each 10mmHg increase in PaCO2 (acute)		**HCO3 increases 1 mEq/L for each 10mmHg increase in PaCO2 (acute)
	**HCO3 ~~increasess~~ 3.5 mEq/L for each 10mmHg increase in PaCO2 (chronic)		**HCO3 increases 3.5 mEq/L for each 10mmHg increase in PaCO2 (chronic)

	==Management==		==Management==
Line 34:		Line 34:
	*[[Hypoxemia]]		*[[Hypoxemia]]
	*[[Shortness of breath]]		*[[Shortness of breath]]
			*[[Respiratory acidosis]]

	==References==		==References==
Line 39:		Line 40:

	[[Category:Pulmonary]]		[[Category:Pulmonary]]
			[[category:critical care]]

Mholtz: Text replacement - "==References== " to "==References== "

2017-07-24T01:13:05Z

Text replacement - "==References== " to "==References== <references/> "

← Older revision		Revision as of 01:13, 24 July 2017
Line 36:		Line 36:

	==References==		==References==
			<references/>

	[[Category:Pulmonary]]		[[Category:Pulmonary]]

Rossdonaldson1: Text replacement - " CV " to " cardiovascular "

2016-09-24T12:57:55Z

Text replacement - " CV " to " cardiovascular "

← Older revision		Revision as of 12:57, 24 September 2016
Line 6:		Line 6:
	==Clinical Features==		==Clinical Features==
	*[[Headache]], confusion, lethargy, [[seizure]], coma		*[[Headache]], confusion, lethargy, [[seizure]], coma
	*Extreme hypercapnia (acute elevation >100) can result in CV collapse		*Extreme hypercapnia (acute elevation >100) can result in cardiovascular collapse

	==Differential Diagnosis==		==Differential Diagnosis==

Neil.m.young: Text replacement - "==Diagnosis==" to "==Evaluation=="

2016-07-24T06:59:14Z

Text replacement - "==Diagnosis==" to "==Evaluation=="

← Older revision		Revision as of 06:59, 24 July 2016
Line 23:		Line 23:
	*[[Upper airway obstruction]]		*[[Upper airway obstruction]]

	==~~Diagnosis~~==		==Evaluation==
	*[[ABG]]		*[[ABG]]
	**HCO3 increases 1 mEq/L for each 10mmHg increase in PaCO2 (acute)		**HCO3 increases 1 mEq/L for each 10mmHg increase in PaCO2 (acute)

Neil.m.young: Text replacement - "==Treatment==" to "==Management=="

2016-07-08T04:14:15Z

Text replacement - "==Treatment==" to "==Management=="

← Older revision		Revision as of 04:14, 8 July 2016
Line 28:		Line 28:
	**HCO3 increasess 3.5 mEq/L for each 10mmHg increase in PaCO2 (chronic)		**HCO3 increasess 3.5 mEq/L for each 10mmHg increase in PaCO2 (chronic)

	==~~Treatment~~==		==Management==
	*Increase minute ventilation (rate and/or tidal volume)		*Increase minute ventilation (rate and/or tidal volume)

Ostermayer: Text replacement - "Category:Pulm" to "Category:Pulmonary"

2016-03-22T16:11:38Z

Text replacement - "Category:Pulm" to "Category:Pulmonary"

← Older revision		Revision as of 16:11, 22 March 2016
Line 38:		Line 38:


	[[Category:~~Pulm~~]]		[[Category:Pulmonary]]

Rossdonaldson1: /* See Also */

2015-05-11T19:33:28Z

Rossdonaldson1: /* Differential Diagnosis */

2015-05-11T19:33:08Z

Differential Diagnosis

← Older revision		Revision as of 19:33, 11 May 2015
Line 9:		Line 9:

	==Differential Diagnosis==		==Differential Diagnosis==
	#Depressed central respiratory drive		*Depressed central respiratory drive
	##Structural CNS disease: brainstem lesions		**Structural CNS disease: brainstem lesions
	##Drug depression of respiratory center: opioids, sedatives, anesthetics		**Drug depression of respiratory center: opioids, sedatives, anesthetics
	##Endogenous toxins: tetanus		**Endogenous toxins: tetanus
	#Thoracic cage disorders		*Thoracic cage disorders
	##Kyphoscoliosis		**Kyphoscoliosis
	##Morbid obesity		**Morbid obesity
	#Neuromuscular impairment		*Neuromuscular impairment
	##Neuromuscular disease: myasthenia gravis, Guillain-Barré		**Neuromuscular disease: myasthenia gravis, Guillain-Barré
	##Neuromuscular toxin: organophosphate poisoning, botulism		**Neuromuscular toxin: organophosphate poisoning, botulism
	#Intrinsic lung disease associated with increased dead space		*Intrinsic lung disease associated with increased dead space
	##COPD		**[[COPD]]
	#Upper airway obstruction		*[[Upper airway obstruction]]

	==Diagnosis==		==Diagnosis==

Rossdonaldson1 at 19:32, 11 May 2015

2015-05-11T19:32:35Z

← Older revision		Revision as of 19:32, 11 May 2015
Line 4:		Line 4:
	**Results from decrease in respiratory rate, tidal volume, or increase in dead space		**Results from decrease in respiratory rate, tidal volume, or increase in dead space

	==~~Diagnosis~~==		==Clinical Features==
	*HA, confusion, lethargy, sz, coma		*[[Headache]], confusion, lethargy, [[seizure]], coma
	*Extreme hypercapnia (acute elevation >100) can result in CV collapse		*Extreme hypercapnia (acute elevation >100) can result in CV collapse

	==~~Work-Up==~~		==Differential Diagnosis==
	*ABG
	**HCO3 increases 1 mEq/L for each 10mmHg increase in PaCO2 (acute)
	**HCO3 increasess 3.5 mEq/L for each 10mmHg increase in PaCO2 (chronic)

	~~==DDx~~==
	#Depressed central respiratory drive		#Depressed central respiratory drive
	##Structural CNS disease: brainstem lesions		##Structural CNS disease: brainstem lesions
Line 27:		Line 22:
	##COPD		##COPD
	#Upper airway obstruction		#Upper airway obstruction

			==Diagnosis==
			*[[ABG]]
			**HCO3 increases 1 mEq/L for each 10mmHg increase in PaCO2 (acute)
			**HCO3 increasess 3.5 mEq/L for each 10mmHg increase in PaCO2 (chronic)

	==Treatment==		==Treatment==
Line 34:		Line 34:
	[[Hypoxemia]]		[[Hypoxemia]]

	==~~Source~~==		==References==
	~~Tintinalli~~

	[[Category:Pulm]]		[[Category:Pulm]]

← Older revision		Revision as of 19:33, 11 May 2015
Line 32:		Line 32:

	==See Also==		==See Also==
	[[Hypoxemia]]		*[[Hypoxemia]]
			*[[Shortness of breath]]

	==References==		==References==