Welcome to Scribd, the world's digital library. Read, publish, and share books and documents. See more
Download
Standard view
Full view
of .
Look up keyword
Like this
43Activity
0 of .
Results for:
No results containing your search query
P. 1
16 Respiratory Alkalosis

16 Respiratory Alkalosis

Ratings:

4.0

(1)
|Views: 9,048 |Likes:
Published by Joel Topf

More info:

Published by: Joel Topf on Oct 26, 2009
Copyright:Attribution Non-commercial

Availability:

Read on Scribd mobile: iPhone, iPad and Android.
download as PDF, TXT or read online from Scribd
See more
See less

07/10/2013

pdf

text

original

 
439
S. Faubel and J. Topf16 Respiratory Alkalosis
16
16 Respiratory Alkalosis
 
440
The Fluid, Electrolyte and Acid-Base Companion
Respiratory alkalosis is characterized by a decreased P
CO
2
and an increasedpH. After buffering and renal compensation, the bicarbonate is decreased. A decrease in P
CO
2
, known as hypocapnia, is always the result of hyperventi-lation.Carbon dioxide
 
is a waste product of metabolism which is eliminated bythe lungs. With appropriate respiration, P
CO
2
is normally kept within a nar-row range (40
±
4 mmHg). Respiratory alkalosis occurs when the lungs elimi-nate more carbon dioxide than is produced by metabolism. Ventilation aboveand beyond what is necessary is known as hyperventilation. 
The study of respiratory alkalosis is the study of hyperventilation
.
Introduction
Respiratory alkalosis is due to hyperventilation.
pH
HCO
3 – 
CO
2
pH
HCO
3 – 
CO
2
pH
HCO
3 – 
CO
2
pH
HCO
3 – 
CO
2
METABOLIC
 
ALKALOSISRESPIRATORY
 
ALKALOSISRESPIRATORY
 
ACIDOSISMETABOLIC
 
ACIDOSIS
Respiratory alkalosis is characterized by a decrease in ______which causes an increase in ______.Carbon dioxide is a waste product of _________ and a relativelyconsistent amount is produced each day. A primary decrease in P
CO
2
is always due to ______________.P
CO
2
pHmetabolismhyperventilation
 
441
S. Faubel and J. Topf16 Respiratory Alkalosis
In respiratory alkalosis, the decrease in carbon dioxide is always due to
hyper
ventilation caused by altered sensing and signaling. This differs fromrespiratory acidosis where
hypo
ventilation can be due to defects in any of the four steps of respiration.The factors which affect the respiratory control center and cause hyper-ventilation will be introduced on the next page.
Introduction
Hyperventilation is due to altered sensing andsignaling.
There are _______ fundamental steps of respirationsensing and ___________________ and motionfree _____gas __________Respiratory _________ can be due to a defect in any one of the steps of respiration, while respiratory __________is onlydue to alterations in ________ and signaling.foursignalingmusclesflowexchangeacidosisalkalosissensing
The only cause of hyperventilation which is not due to altered sensing and signaling isoverventilation on a mechanical ventilator.
CO
2
 
CO
2
 
CO
2
 
O
2
O
2
O
2
O
2
O
2
O
2
Muscles and motion
The muscles of respiration expand the chest whichlowers intrathoracic pressure and draws air intothe lungs.
Sensing and signaling
The respiratory control center in the medulla re-sponds to changes in CO
2
, O
2
and pH by sendingsignals via nerves to the muscles of respiration.
Free flow
A patent airway is necessary for air to flow intothe alveoli.
Gas exchange
Exchange of CO
2
and O
2
occurs in the alveoli. Ox-ygen enters the blood and CO
2
enters the alveoli.
+

Activity (43)

You've already reviewed this. Edit your review.
1 hundred reads
1 thousand reads
Sarah English liked this
Jessica López liked this
Kaylene Landers liked this
ktsel liked this
Sayed Nour liked this

You're Reading a Free Preview

Download
scribd
/*********** DO NOT ALTER ANYTHING BELOW THIS LINE ! ************/ var s_code=s.t();if(s_code)document.write(s_code)//-->