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How Do You Treat Respiratory Acidosis?

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Respiratory Acidosis

DEFINITION Respiratory acidosis = a primary acid-base disorder in which arterial pCO2 rises to an abnormally high level. PATHOPHYSIOLOGY arterial pCO2 is normally maintained at a level of about 40 mmHg by a balance between production of CO2 by the body and its removal by alveolar ventilation. PaCO2 is proportional to VCO2/VA VCO2 = CO2 production by the body VA = alveolar ventilation an increase in arterial pCO2 can occur by one of three possible mechanisms: presence of excess CO2 in the inspired gas decreased alveolar ventilation increased production of CO2 by the body CAUSES Inadequate Alveolar Ventilation central respiratory depression drug depression of respiratory centre (eg by opiates, sedatives, anaesthetics) neuromuscular disorders lung or chest wall defects airway obstruction inadequate mechanical ventilation Over-production of CO2 -> hypercatabolic disorders Malignant hyperthermia Thyroid storm Phaeochromocytoma Early sepsis Liver failure Increased Intake of Carbon Dioxide Rebreathing of CO2-containing expired gas Addition of CO2 to inspired gas Insufflation of CO2 into body cavity (eg for laparoscopic surgery) EFFECTS CO2 is lipid soluble -> depressing effects on intrace Continue reading >>

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Popular Questions

  1. Equinox

    Hello, I am on day 17 of the Whole30, which I started in an attempt to get my rosacea under control. I am also interested in weight loss. Anyway, I can say that my pants are fitting a little looser since I started and my rosacea is better than it has been in a long time. So far I have tried to be as compliant as possible and my only two slips were accidental. I ate a sausage that had red wine on the ingredient list (I forgot that wine isn't allowed as I don't drink alcohol at all so I didn't register that part of the book as applying to me and just skimmed over it!). I also accidentally grabbed my daughter's glass instead of mine and got a small sip of lime-ade before I could spit it out. Those were in the first week though. I didn't bother starting again on Day 1 with these as I plan to be on the Whole30 for more than 30 days and counting things annoys me.
    On the other hand, my menstrual cycle (which arrived about 10 days in) was both heavier and longer than normal and I had terrible insomnia for a week beforehand. After my cycle began this eased off somewhat but I still have trouble falling asleep, staying a sleep and also with waking up too early. I feel like a zombie and I'm averaging about 5 hours of poor quality sleep a night. I've had to stop my regular exercise routine as I'm just too tired. I should mention that I'm usually a good sleeper, except when my daughter wakes me up in the night, which unfortunately happens a couple of times a week these days. And that happened more than the usual number of times in the past two weeks so my sudden insomnia has been all the worse. This is seriously the worst quality sleep I have ever gotten in my life that was not caused by some external factor (like having a newborn). I just toss and turn and feel really anxious over nothing at all.
    It seems that some other people have experienced this with the Whole30 as well. I'm wondering if I've entered into ketosis, which I read was associated with insomnia in some people, especially women. I just weighed myself to see if I had any sort of profound weight loss that might explain it and it seems I've lost 4 lbs, which is more than usual for me but certainly not beyond the pale. So, assuming that I have not been eating enough starch (I've been trying to eat a starchy vegetable once a day and eating a banana once a day also), how long will it take to get out of ketosis if I start adding a starchy vegetable to each of my three meals? I should add that even though I maybe haven't been getting enough starch, I haven't been hungry at all and I didn't experience any cravings at all until the sleep deprivation started to kick in. Also, has anyone had success with melatonin?
    I just really want to get a good night's sleep.

  2. missmary

    I would not recommend melatonin as a long-term solution because it interferes with your bodies ability to produce melatonin on it's own. Magnesium is a great supplement that can help with sleep.
    If you already have included starchy veggies and bananas every day, ketosis is very unlikely. Regardless, starchy veggies can certainly help with sleep and anxiety issues, especially when consumed at meal #3. How is your fat intake? Make sure you keep that at least to the minimum recommended 1-2 thumbs per meal (don't rely on cooking fat alone, since much of that stays in the pan).
    Eating within an hour of waking and also getting sunlight right away in the morning (go outdoors for 15 minutes) can really help with getting cortisol in the right rhythm which will help with sleep. In the same vein, avoiding bright light and screens at night will also help keep circadian rhythms in proper order. Some people use amber glasses or software like f.lux to reduce blue light at night for a similar effect.
    Good luck. I hope you get some better sleep soon!

  3. Tom Denham

    I am one of those people who needs starchy veggies every day to keep me sleeping good. I've also had a great experience with taking magnesium. I used to take Natural Calm, but it provoked diarrhea for me. I switched to magnesium aspartate supplements - 200 to 300 mgs per night. It is working very well. Actually, when I first saw a functional medicine doctor, she gave me an injection of magnesium and I enjoyed great sleep that night and for the next several nights.

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