ARBs: Acute and Chronic Respiratory ACIDOSIS (Carbonic Acid Excess)

Question 1

Respiratory Acidosis

Respiratory Acidosis

1. pH is less than?
2. PaCO2 is greater than?

Answer 1

1. <7.35
2. >45

Question 2

Respiratory Acidosis

1. Respiratory acidosis is always due to inadequate excretion of __?__
2. with inadequate ___?___
3. Any situation that causes hyper? or hypo? ventiliation is associated with an elevated PaCO2 and usually a decrease in PaO2

Answer 2

1. CO2
2. Ventiliation
3. Hypoventiliation

Question 3

Respiratory Acidosis

Respiratory acidosis can occur in diseases that impare respiratory muscles such as (3)

Answer 3

1. Muscular dystrophy
2. Myasthenia gravis
3. Guillain-Barre syndrome

Question 4

Respiratory Acidosis

Hypercapnia?

Answer 4

Excessive CO2 in blood

Question 5

Respiratory Acidosis

Disorders such as

• Pulmonary Edema
• Pneumothorax

May initially cause hyperventiliation but when this happens ___?___ the CO2 levels will rise leading to acidosis

Answer 5

1. Respiratory Fatigue

Question 6

Respiratory Acidosis

Nursing Management

Answer 6

1. TX cause of hypoventilation
2. Meds
3. Pulmonary hygiene measures when cleaning airway
4. Hydration if not contraindicated
5. Admin Oxygen

Question 7

Respiratory Acidosis

Medications to TX Respiratory Acidosis?

Answer 7

1. Brochdialators
2. Antibotics
3. Thrombolytics (Pulmonary Emboli)
4. Anticougulants (Pulmonary Emboli)

Question 8

Respiratory Acidosis

Danger of chronic PaCO2 higher than 50 mm Hg, respiratory center becomes ___1___to CO2 as a ___2___ leaving

___3___ as the major drive for respiration. Oxygen adminstration may remove the stimulus of ___4___ and the patient develops ___5___ unless the situation is quickly reversed. Therefore, oxygen is administered with caution

Answer 8

1. Insenstive
2. respiratory stimulant
3. Hypoxemia
4. Hypoxemia
5. Carbon dioxide narcosis

Pelico 87