Respiratory acidosis medical therapy: Difference between revisions
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==Medical Therapy == | ==Medical Therapy == | ||
* Pharmacologic medical therapy is recommended for patients who are taking Sedatives. | |||
* For patients who are suspected of drug overdose administration of antidote is considered when the physician think it safe. | |||
** Preferred regimen (1): Naloxone 0.05 mg intravenously (IV) as an initial | |||
** In apneic patients give Naloxone 0.2 to 1 mg as an initial dose. | |||
** In cardiorespiratory arrest give Naloxone 2 mg as an initial dose. | |||
** Preferred regimen (2): Flumazenil 0.2 mg given IV over 30 seconds as an initial dose. | |||
** 0.2 mg to a maximum dose of 1 mg of Flumazenil should be considered but not more than that for an initial dose in an adult. | |||
** Overall not more than 3 mg of flumazenil should be given. | |||
==References== | ==References== |
Revision as of 16:24, 26 February 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Vamsikrishna Gunnam M.B.B.S [2]
Overview
The mainstay of treatment for respiratory acidosis is treating the underlying disorder which is responsible for the condition.While correcting hypercapnia extra care should be taken because rapid correction of the hypercapnia can result in metabolic alkalemia and can result in seizures especially when cerebrospinal fluid (CSF) becomes alkaline.Indications for admitting the patient in intensive care unit (ICU) when a patient presents with a low pH of (< 7.25), Confusion, lethargy and respiratory muscle weakness.
Medical Therapy
- Pharmacologic medical therapy is recommended for patients who are taking Sedatives.
- For patients who are suspected of drug overdose administration of antidote is considered when the physician think it safe.
- Preferred regimen (1): Naloxone 0.05 mg intravenously (IV) as an initial
- In apneic patients give Naloxone 0.2 to 1 mg as an initial dose.
- In cardiorespiratory arrest give Naloxone 2 mg as an initial dose.
- Preferred regimen (2): Flumazenil 0.2 mg given IV over 30 seconds as an initial dose.
- 0.2 mg to a maximum dose of 1 mg of Flumazenil should be considered but not more than that for an initial dose in an adult.
- Overall not more than 3 mg of flumazenil should be given.