Respiratory acidosis or respiratory alkalosis
occurring with a mixed disorder of metabolic acidosis and metabolic alkalosis is another critical situation one may encounter in acutely ill patients.
is very evident from the data of blood pH of this experiment.
Severe acute VPA toxicity may be characterized by several biochemical abnormalities, including hyperammonemia, hypernatremia, hypocalcemia, an increased osmolal and anion gap, respiratory alkalosis
, metabolic acidosis, and increased transaminase activity.
produces a feeling of light-headedness and peripheral paraesthesia - a phenomenon you probably know better as pins and needles.
An arterial blood gas will show severe hypoxemia, with a partial pressure of arterial oxygen of 30 mm to 40 mmHg and a respiratory alkalosis
25) After about 30 minutes of hyperventilation, however, there is a drop in potassium, with a shift of potassium from the intracellular to extracellular space as the body attempts to buffer the respiratory alkalosis
with K+ ions replacing H+ ions.
probably r/t hyperventilation
Laboratory studies that suggest salicylate poisoning include the presence of a respiratory alkalosis
with a concomitant anion gap metabolic acidosis.
In contrast, phosphate excretion is decreased in respiratory alkalosis
But nonspecific findings such as ST-segment changes could have been caused by respiratory alkalosis
from an increased ventilation rate or fever-induced tachycardia.
Also, shivering has been reported in normothermic patients suggesting that inhibited spinal reflexes, apprehension, decreased sympathetic activity, pyrogen release, adrenal gland suppression and respiratory alkalosis
are also involved.
The acute respiratory alkalosis
may be accompanied by a metabolic acidosis if the hypoxia is severe enough to cause the buildup of lactic acid resulting from anaerobic respiration.
His blood chemistry was normal and arterial blood gases showed respiratory alkalosis
with normal pO2.
With respiratory alkalosis
, the kidneys work to secrete HCC[O.