Description

A person develops respiratory acidosis by retaining carbon dioxide.


 

Drugs causing depression of the central respiratory center:

(1) opiates

(2) benzodiazepines

(3) anesthetic agents

(4) barbiturates

 

Conditions causing depression of the central respiratory center:

(1) stroke, especially with brainstem involvement

(2) infection

(3) brain tumor

(4) multiple sclerosis

(5) head trauma

 

Pulmonary disorders associated with accumulation of carbon dioxide:

(1) airway obstruction (foreign body, tumor, laryngospasm, mucus plugging, other)

(2) asthma

(3) chronic obstructive pulmonary disease (COPD)

(4) pneumonconiosis

(5) interstitial lung disease

(6) acute respiratory distress syndrome (ARDS)

(7) barotrauma

(8) pneumonia

(9) pneumothorax

(10) pulmonary edema

 

Neuromuscular disorders with impaired respiration:

(1) poliomyelitis

(2) myasthenia gravis

(3) kyphoscoliosis

(4) muscular dystrophy

(5) diaphragmatic paralysis

 

Reduced thoracic excursion:

(1) obesity-hypoventilation syndrome

(2) scleroderma

(3) chest constriction (coiled snake, burial, crush injury)

 

Conditions associated with increased carbon dioxide generation:

(1) enteral or parenteral nutrition with excess calories

 

Other conditions:

(1) fixed setting to mechanical ventilator

(2) cardiac arrest (unable to get venous blood to the lungs)

 


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