Respiratory acidosis

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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)

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