Respiratory acidosis resident survival guide: Difference between revisions
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{{familytree | D01 | | | D02 | | | | | | | | | | | | | D03 | | | | | D04 |D01=Metabolic acidosis<br>HCO3<24mmol/L<br>CO2:HCO3<br>12:10|D02=Respiratory acidosis<br>pCO2>40mmHg|D03=Metabolic alkylosis<br>HCO3>28mmol/L<br>CO2:HCO3<br>7:10|D04=Respiratory alkylosis<br>pCO2<35mmHg}} | {{familytree | D01 | | | D02 | | | | | | | | | | | | | D03 | | | | | D04 |D01=Metabolic acidosis<br>HCO3<24mmol/L<br>CO2:HCO3<br>12:10|D02=Respiratory acidosis<br>pCO2>40mmHg|D03=Metabolic alkylosis<br>HCO3>28mmol/L<br>CO2:HCO3<br>7:10|D04=Respiratory alkylosis<br>pCO2<35mmHg}} | ||
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Revision as of 14:58, 26 August 2020
| Resident Survival Guide |
|---|
| Introduction |
| Team |
| Guide |
| Page Template |
| Examine the Patient Template |
| Navigation Bar Template |
| Checklist |
| Topics |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Qasim Khurshid.M.B.B.S
Overview
Causes
Life Threatening Causes
Life-threatening causes include conditions that may result in death or permanent disability within 24 hours if left untreated.
- Sedative overdose (eg, narcotic or benzodiazepine, some anesthetics, tricyclic antidepressants)
- Epiglottitis
- Foreign body aspiration
- Angioedema
- Pulmonary embolism (usually severe)
- Respiratory muscle fatigue
- Periodic paralysis
- Phrenic nerve injury
- Organophosphates poisoning
- Procainamide toxicity
Common Causes
- Sedative overdose (eg, narcotic or benzodiazepine, some anesthetics, tricyclic antidepressants)
- Encephalitis
- Brainstem disease
- Central and obstructive sleep apnea
- Amyotrophic lateral sclerosis
- Dynamic hyperinflation (eg, upper and lower airway disorders including chronic obstructive pulmonary disease, severe asthma)
- Endstage interstitial lung disease
- Pulmonary embolism (usually severe)
- Thyrotoxicosis
- Foreign body aspiration
- Retropharyngeal disorders
- Obstructive goiter
- Vocal cord paralysis
- Hypophosphatemia
- Hypomagnesemia
- Hyperthyroidism
- Tetanus
- Botulism
- Succinylcholine and neuromuscular blockade
Diagnosis
Shown below is an algorithm summarizing the diagnosis of [[disease name]] according the the [...] guidelines.
| Suspected acid base disorder | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Acidemia pH<7.35 | Normal pH | Alkalemia pH>7.45 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Metabolic acidosis HCO3<24mmol/L CO2:HCO3 12:10 | Respiratory acidosis pCO2>40mmHg | Metabolic alkylosis HCO3>28mmol/L CO2:HCO3 7:10 | Respiratory alkylosis pCO2<35mmHg | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| {{{ E01 }}} | {{{ E02 }}} | {{{ E03 }}} | {{{ E04 }}} | {{{ E05 }}} | {{{ E06 }}} | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Treatment
Shown below is an algorithm summarizing the treatment of [[disease name]] according the the [...] guidelines.
Do's
- The content in this section is in bullet points.
Don'ts
- The content in this section is in bullet points.