A Patient With Respiratory Acidosis Essay

Because the PCO2 levels are too high the body is not getting the adequate amount of oxygen. This means the oxygen-carrying hemoglobin is not working properly do to the excessive amounts carbon dioxide causing respiratory acidosis.

3. What would happen to the amount of H+ secreted into the renal tubule if the activity of the Na+ /K+

Respiratory acidosis is a condition that occurs when the lungs cannot remove all the carbon dioxide the body produces. This causes body fluids, especially the blood, to become too acidic. Chronic respiratory acidosis occurs over a long period of time, this leads to a stable situation, because the kidneys increase body chemicals, such as bicarbonate, that help restore the body’s acid-base balance. Acute respiratory acidosis is a condition in which carbon dioxide builds up quickly, before the kidneys can return the body to a state of balance. Some of the symptoms may include: confusion, fatigue, lethargy, shortness of breath, and sleepiness. Some causes of

D) If you hyperventilate the kidneys will counteract the alkalinity by adding hydrogen ions into the blood stream

I would tell the doctor to stop if he didn’t start and grab a manual ventilator and try to find a replacement mechanical ventilator.

The following case study is of a 37-year old Hispanic male weighing 145 lbs and 70 inches tall found unconscious by his girlfriend. According to her he was unconscious for about 15 hours and she was concerned because he would not wake or respond and was breathing shallow and slow. She then called 9-1-1. The patient entered the ER by emergency vehicle and on my initial assessment Pt had an altered mental status, was very unresponsive showing symptoms of a possible drug overdose. The girlfriend told the physician the Pt had taken 75 mg of methadone and an unknown amount of Xanex and other amounts of Benzodiazepines. On assessment, the doctor noticed his altered mental status and unconscious status. He had a gag

The R.S. laboratory results show the patient is suffering from respiratory acidosis with a metabolic compensation. The PH is decreased from the normal 7.4, his PaCO2 is elevated from the normal range of 34-45 mm Hg, and his O2 is elevated from the normal range of 24-30 mm Hg. his elevated PaO2 indicates that he has a metabolic compensation. The body does not like to be in acidosis therefore it will start to correct the problem through compensating by promoting the kidneys to produce more metabolic acid to help restore the balance.

K.) How would you have expected Cari’s decreased Pco2 and alkaline blood pH to have affected her breathing?

This ends up causing a disruption to internal hemostasis. You have special nerves (known as chemoreceptors) which will send a message to your brain when you have a lower pH level than you should. This causes your brain to send messages to your heart to increase the contractions. This also happens in your lungs. When these two things happen together it will cause your body to get rid of the CO2(which will take a longer amount of time if you are in bad shape, and a shorter time if you are in good

I then needed to carry out a respiratory assessment. I observed Mr Brown’s chest for any visible signs of scars or trauma. This appeared normal.

The pH of blood in D decreases as we rebreathe the carbon dioxide because the carbon dioxide building up in our lungs is trying to be exhaled and the oxygen in the body are trying to reach the body cells or the lungs. An increase in breathing rate, such as in D, decreases the level of carbon dioxide concentration and increases oxygen concentration, thus causing a decrease in hydrogen

A STUDY REGARDING PRACTICE VARIATIONS FOR UPPER RESPIRATORY INFECTIONS IN OUTPATIENT SETTINGS ACCORDING TO A PHYSICIAN’S SPECIALTY

Metabolic acidosis results from all conditions that decrease the pH of the body fluids below 7.35 and HCO3- levels are <22 mEq/L, with the exception of conditions resulting from altered function of the respiratory system. As hydrogen ions accumulate in the body fluids, buffers first resist a decline in pH. If the buffers cannot compensate for the increase in hydrogen ions, the respiratory center helps regulate the body fluid pH. The reduced pH stimulates the respiratory center, which causes hyperventilation. During hyperventilation, carbon dioxide is eliminated at a greater rate. The elimination of carbon dioxide also eliminates excess hydrogen ions and helps maintain the pH of the body fluids within a normal range. (Angus, 2006)

Respiratory Acidosis occurs when the lungs cannot remove all the carbon dioxide that the body makes. In turn this makes fluid in the body become too acidic. The distinctive feature of respiratory acidosis is an abnormally high PCO2, meaning above 45 mmHg. Improper exhalation of oxygen can cause the blood pH to drop.” Any condition that decreases the movement of CO2 from the blood to the alveoli of the lungs to the atmosphere causes a buildup of CO2, H2CO3, and H+ (Tortora, 2014, p.1036)”. Symptoms of this condition may include: confusion, lethargy, fatigue, sleepiness, and shortness of breath. Probable causes are: obesity, disease of the chest, diseases of the lungs and airways, and drugs that suppress breathing (MedlinePLus, 2012). A health care provider will perform a physical exam to see if this is what is happening. He may do so by: arterial blood gas which measures oxygen and carbon dioxide levels in the blood, basic metabolic panel, a chest x-ray, or possibly a pulmonary function test (MedlinePLus, 2012). Treatment is mainly aimed at the underlying cause not at condition itself. It is treated

If an acid-base disturbance shifts the pH outside of the physiologic range, various control measures are activated to resist the change in pH. Compensatory mechanisms try to preserve the normal 20:1 ratio of bicarbonate to carbonic acid to keep the pH at normal range. The body works to maintain normal ratios through a compensation mechanism using renal and respiratory methods (Crowley, 2010).