Respiratory acidosis resident survival guide: Difference between revisions
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{{familytree | | | C01 | | | | | | | | | C02 | | | | | | | | | C03 |C01=Acidemia<br>pH<7.35|C02=Normal pH|C03=Alkalemia<br>pH>7.45}} | {{familytree | | | C01 | | | | | | | | | C02 | | | | | | | | | C03 |C01=Acidemia<br>pH<7.35|C02=Normal pH|C03=Alkalemia<br>pH>7.45}} | ||
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{{familytree | D01 | | | | {{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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{{familytree | E01 | | E02 | | E03 | | E04 | | | | | | | | | | E05 | | E06 }} | {{familytree | E01 | | E02 | |E03| | | E04| | | | | | | | | | | E05| |E06| E01=Anion gap|E02=Non anion gap|E03=Acute<br>CO2:HCO3<br>10:1|E04=Chronic<br>CO2:HCO3<br>10:3|E05=Acute<br>CO2:HCO3<br>10:2|E06=Chronic<br>CO2:HCO3<br>10:4 }} | ||
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{{familytree/start |summary=PE diagnosis Algorithm.}} | |||
{{familytree | | | | | | | | | | | | | | F01 | | | | | | | | | | |F01= Suspected acid base disorder}} | |||
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Revision as of 19:19, 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 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Anion gap | Non anion gap | Acute CO2:HCO3 10:1 | Chronic CO2:HCO3 10:3 | Acute CO2:HCO3 10:2 | Chronic CO2:HCO3 10:4 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Suspected acid base disorder | |||||||||||||||||||||||||||||||||||||||||||||||||||
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.