Respiratory Acidosis Questions & Answers

Updated: Aug 27, 2021
  • Author: Nazir A Lone, MD, MBBS, MPH, FACP, FCCP; Chief Editor: Zab Mosenifar, MD, FACP, FCCP  more...
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Questions & Answers

Overview

What is respiratory acidosis?

How are acute and chronic respiratory acidosis defined?

What causes failure in ventilation in acute respiratory acidosis?

What are possible etiologies of chronic respiratory acidosis?

Which lab analysis is necessary to evaluate suspected respiratory acidosis?

What is the most common serum electrolyte finding in chronic respiratory acidosis?

What is the role of thyrotropin and a free T4 level measurement in the workup of respiratory acidosis?

What other conditions may be present in patients with respiratory acidosis?

When is a drug screen indicated in the workup of respiratory acidosis?

What is the role of imaging studies in the workup of respiratory acidosis?

What is the role of pulmonary function testing in the workup of respiratory acidosis?

What is the role of electromyography (EMG) and measurement of nerve conduction velocity (NCV) in the workup of respiratory acidosis?

What is the role of transdiaphragmatic pressure measurement in the workup of respiratory acidosis?

What are the treatment options for respiratory acidosis?

Which ventilation techniques are used in the treatment of respiratory acidosis?

What is the role of alveolar ventilation in the pathogenesis of respiratory acidosis?

What causes of respiratory acidosis?

What role does metabolism play in the pathogenesis of respiratory acidosis?

What is the physiologic compensation response to acute respiratory acidosis?

What is the change in serum bicarbonate concentration estimated in respiratory acidosis?

How is the change in pH estimated in respiratory acidosis?

What is the role of electrolytes in the pathogenesis of respiratory acidosis?

Presentation

What are the signs and symptoms of respiratory acidosis?

What are the physical findings suggestive of respiratory acidosis?

What are possible complications of in respiratory acidosis?

What is the progression of chronic hypoxia in respiratory acidosis?

What are the effects of hypopneas and apneas in respiratory acidosis?

What is the effect of high levels of carbon dioxide in respiratory acidosis?

Which risks are increased in patients with chronic obstructive pulmonary disease (COPD) and respiratory acidosis?

DDX

What should be considered in the differential diagnosis of respiratory acidosis?

What are the differential diagnoses for Respiratory Acidosis?

Workup

Which tests may be helpful in the diagnosis of respiratory acidosis?

What is the role of arterial blood gas (ABG) analysis in the workup of respiratory acidosis?

Which serum electrolyte finding suggests chronic respiratory acidosis?

What is the role of thyroid function tests in the workup of respiratory acidosis?

When are drug and toxicology screens indicated in the workup of respiratory acidosis?

Which patients are at increased risk of developing respiratory acidosis while undergoing flexible bronchoscopy?

What is the role of chest radiography in the workup of respiratory acidosis?

What is the role of a fluoroscopic "sniff test" in the workup of respiratory acidosis?

What is the role of CT scanning in the workup of respiratory acidosis?

Which respiratory acidosis etiologies may be diagnosed with brain CT scanning?

What is the role of MRI in the workup of respiratory acidosis?

What is the role of pulmonary test measurements in the workup of respiratory acidosis?

What is the role of electromyography (EMG) and measurement of nerve conduction velocity (NCV) in the workup of respiratory acidosis?

What is the role of transdiaphragmatic pressure measurement in the workup of respiratory acidosis, and how effective is capnography in end-tidal carbon dioxide monitoring?

Treatment

What is the focus of respiratory acidosis?

When is inpatient care indicated for respiratory acidosis?

When should specialist consultations be considered in the evaluation and treatment of respiratory acidosis?

What is the role of bronchodilators in the treatment of respiratory acidosis?

What is the role of respiratory stimulants in the treatment of respiratory acidosis?

What is the role of drug antagonists in the treatment of respiratory acidosis?

What is the role of sodium bicarbonate in the treatment of respiratory acidosis?

What is the role of oxygen therapy in the treatment of respiratory acidosis?

What is the role of ventilation in the treatment of respiratory acidosis?

What is the role of extracorporeal carbon dioxide removal (ECCO2 R) in the treatment of respiratory acidosis?

Medications

Which drugs are used to treat respiratory acidosis?

Which medications in the drug class Beta2 Agonists are used in the treatment of Respiratory Acidosis?

Which medications in the drug class Anticholinergics, Respiratory are used in the treatment of Respiratory Acidosis?

Which medications in the drug class Xanthine Derivatives are used in the treatment of Respiratory Acidosis?

Which medications in the drug class Corticosteroids are used in the treatment of Respiratory Acidosis?

Which medications in the drug class Benzodiazepine Toxicity Antidotes are used in the treatment of Respiratory Acidosis?

Which medications in the drug class Opioid Antagonists are used in the treatment of Respiratory Acidosis?