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Respiratory Acidosis Complications

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Nur 200 1.4 Review: Respiratory Acidosis

Priority assessments for a client suspected of respiratory acidosis would be skin color and temperature, appearance of the optic nerve (assessing for papilledema), and rate and depth of respirations. The nurse would be less concerned with the external appearance of the eye and the presence of sinus pain. The nurse is monitoring the input and output of a client with respiratory acidosis. The nurse understands that this intervention addresses which potential problem in the client? Clients with respiratory acidosis are at risk for dehydration, so monitoring the input and output of a client addresses this potential problem. Monitoring input and output does not address the risk for mental status changes, potential for compromised airway, or risk of injury. The nurse is administering sodium bicarbonate to the client with respiratory acidosis. The nurse understands that which is the primary goal of treatment for this client? The primary goal of treatment for respiratory acidosis is to remove excess acids and increase pH to normal levels. Increasing carbon dioxide in blood will only decrease pH further. Opening the airways is another method of returning blood pH to normal, but is not the Continue reading >>

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  1. Clare

    Does anyone else find that they get motivated to declutter their home while on a fast?!
    This was recently discussed on a Facebook group I'm in, I find the whole idea of 'body' and 'home' autophagy fascinating.......
    I wonder if anyone else experiences the same urge to declutter when fasting or in deep ketosis?
    Maybe its something to do with having that boost in energy that fasting brings plus the extra time that the lack of food prep and eating offers?!
    Anyone else noticed this correlation?

    ***Apologies to admin if I have posted this in the wrong category.

  2. leenie

    Personally, I feel empowered when I'm on a Keto high. My brain is laser focused and overall I move at a much quicker pace and on top of that I don't tire. It's crazy how much I get accomplished when I have high ketones! I do find I go out of my way to clean and straighten up more than usual when I'm feeling wonderful.

  3. Clare

    Yep me too!
    Im thinking it's like we have physiologically evolved to have more energy available when carbs are low, or scarce.
    In temperate climates, during Autumn/winter it seems like we naturally hibernate and conserve energy, and those times are when we have more access to fruits and root vegetables.
    Ketones seem to boost energy levels and during lean times this would give us the energy required. Is it a coincidence that we 'Spring'clean when food would have naturally been scarce?!

    Just something I'm pondering...... lol

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Respiratory Acidosis

(Video) Overview of Acid-Base Maps and Compensatory Mechanisms By James L. Lewis, III, MD, Attending Physician, Brookwood Baptist Health and Saint Vincents Ascension Health, Birmingham Respiratory acidosis is primary increase in carbon dioxide partial pressure (Pco2) with or without compensatory increase in bicarbonate (HCO3); pH is usually low but may be near normal. Cause is a decrease in respiratory rate and/or volume (hypoventilation), typically due to CNS, pulmonary, or iatrogenic conditions. Respiratory acidosis can be acute or chronic; the chronic form is asymptomatic, but the acute, or worsening, form causes headache, confusion, and drowsiness. Signs include tremor, myoclonic jerks, and asterixis. Diagnosis is clinical and with ABG and serum electrolyte measurements. The cause is treated; oxygen (O2) and mechanical ventilation are often required. Respiratory acidosis is carbon dioxide (CO2) accumulation (hypercapnia) due to a decrease in respiratory rate and/or respiratory volume (hypoventilation). Causes of hypoventilation (discussed under Ventilatory Failure ) include Conditions that impair CNS respiratory drive Conditions that impair neuromuscular transmission and other Continue reading >>

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Popular Questions

  1. sunshineblondee

    Ever since surgery I've had the worst breath. My tongue feels coated and I'm constantly using a tongue scraper and brushing my teeth. Is this from lack of liquid, food, etc...? It's so gross & embarassing. When does this go away?

  2. accordingtome

    Maybe you are in Ketosis.

  3. ToDream

    I'd say ketosis too. Does it kinda taste like you've been sucking on copper pennies? I hit ketosis a few days ago and its the nastiest thing. I hate keto-breath!

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Respiratory Acidosis

Respiratory acidosis is an abnormal clinical process that causes the arterial Pco2 to increase to greater than 40 mm Hg. Increased CO2 concentration in the blood may be secondary to increased CO2 production or decreased ventilation. Larry R. Engelking, in Textbook of Veterinary Physiological Chemistry (Third Edition) , 2015 Respiratory acidosis can arise from a break in any one of these links. For example, it can be caused from depression of the respiratory center through drugs or metabolic disease, or from limitations in chest wall expansion due to neuromuscular disorders or trauma (Table 90-1). It can also arise from pulmonary disease, card iog en ic pu lmon a ryedema, a spira tion of a foreign body or vomitus, pneumothorax and pleural space disease, or through mechanical hypoventilation. Unless there is a superimposed or secondary metabolic acidosis, the plasma anion gap will usually be normal in respiratory acidosis. Kamel S. Kamel MD, FRCPC, Mitchell L. Halperin MD, FRCPC, in Fluid, Electrolyte and Acid-Base Physiology (Fifth Edition) , 2017 Respiratory acidosis is characterized by an increased arterial blood PCO2 and H+ ion concentration. The major cause of respiratory acido Continue reading >>

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Popular Questions

  1. CyprusRoots

    Hi all, I'm 5 days into my keto journey and just got a little bit impatient and decided to take a ketones reading using the stick method. The reading was in the purple (very excited) and the reading was +15 (1.5) mg/dl(mmol/L). I haven't a clue what that means? Could someone give me an explanation? Thanks.

  2. Azuriaz

    Sounds like the number is milligrams per deciliter? I never pay attention to that, I just go with the shade of purple. The times I've gone several months straight in ketosis, the tendency is for the sticks to go into the light/moderate range as long as I stay well-hydrated. From what I understand that is normal. I have yet to see the sticks show not in ketosis at all unless I've eaten something that I knew would put me out. Really they're a very rough guide, I'm just too broke to go around spending five bucks on blood test strips!

  3. KnitOrMiss

    You should be able to download a chart online by brand. My general understanding is that the darker the color, the more ketones being dumped as waste. That means you are making a ton, but not yet efficient at using all of what you make (adapted). It's a good first step stage. That being said, as you adapt, you will "waste" less, and those results will become unreliable at best.

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