CO2 narcosis
Revision as of 15:28, 11 January 2016 by NicoleZadzilka (talk | contribs) (Created page with "==Background== * increased CO2 in the blood leading to depressed mental status * most commonly seen in acute exacerbations of obstructive pulmonary diseases * can also be seen...")
Background
- increased CO2 in the blood leading to depressed mental status
- most commonly seen in acute exacerbations of obstructive pulmonary diseases
- can also be seen in SCUBA divers
Clinical Features
- headache, confusion, lethargy, propensity for arrhythmias, seizure/coma/death
Differential Diagnosis
- drug intoxication
- encephalopathy (renal, hepatic, hypertensive)
- ICH
- seizure
Diagnosis
- ABG
Management
- hyperventilation with either NIPPV or intubation/mechanical ventilation depending on severity and patient's mental status
Disposition
- admission to a monitored setting
See Also
External Links
References
- 1. Bove, A. (2014). Diving Medicine. Am J Respir Crit Care Med, 189(12), 1479-1486. doi:10.1164/rccm.201309-1662ci
- 2. Clark, J. (2015). Moving in extreme environments: inert gas narcosis and underwater activities. Extrem Physiol Med, 4(1), 1. doi:10.1186/s13728-014-0020-7
- 3. Lindholm, P., & Lundgren, C. (2008). The physiology and pathophysiology of human breath-hold diving. Journal Of Applied Physiology, 106(1), 284-292. doi:10.1152/japplphysiol.90991.2008
- 4. Hypercapnia. (n.d.). In Wikipedia. Retrieved January 11, 2016, from http://en.wikipedia.org/wiki/hypercapnia