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What are common causes of hypoventilation and respiratory acidosis?
Central nervous system depression, extreme obesity, and neuromuscular disorders
What are effects of rapidly rising PaCO2?
Increased intercranial pressure, myoclonus, and mental confusion
What are causes of hypoxia induced respiratory alkalosis?
High altitude, asthma, pneumonia, and pulmonary edema
What is the most common cause of iatrogenic respiratory alkalosis?
Mechanical ventilation
What symptoms are associated with hypocapnic cerebral vacoconstriction?
Light-headedness, dizziness and syncope
What is the interpretation of a blood gas that shows a ph of 7.44, a PaC02 of 50MMHG, a PaC02 of 48MMHG, And an hco3 of 33MEQ/L in a patient with advanced COPD?
Acute hyperventilation super imposed on chronic respiratory acidosis
What conditions make metabolic alkalosis the most complicated acid base imbalance to treat in acutely ill patients?
Fluid and electrolyte imbalances
What conditions may limit compensatory hypoventilation for metabolic alkalosis?
Anxiety, Pain, Infection, and Fever
What is the interpretation of a blood gas that shows a Ph of 7.10 a PaC02 of 50MMHG and an hco3 of 15MEQ/L?
Combined respiratory and metabolic acidosis
What should be the focus of evaluating oxygenation?
Oxygen delivery to the tissues
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