| Diagnosis and management of severe respiratory acidosis: a 65-year-old man with a double-lung transplant and shortness of breath. | |
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MedLine Citation:
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PMID: 20673604 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Respiratory acidosis is characterized by a primary increase in whole-body carbon dioxide stores caused by a positive carbon dioxide balance. This acid-base disorder, if severe, may be life-threatening, therefore requiring prompt recognition and expert management. The case presented highlights the essential features of the diagnosis and management of respiratory acidosis. A brief description of the modifiers of carbon dioxide production, the pathogenesis of respiratory acidosis, and an algorithm for assessment and management of this disorder is included. Key teaching points include the clinical value of both arterial and venous blood gas analyses and the importance of proper recognition of a primary respiratory arrest in contrast to primary circulatory arrest when managing a patient who requires resuscitation from "cardiorespiratory arrest." |
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Authors:
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Horacio J Adrogué |
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Publication Detail:
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Type: Case Reports; Journal Article Date: 2010-07-29 |
Journal Detail:
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Title: American journal of kidney diseases : the official journal of the National Kidney Foundation Volume: 56 ISSN: 1523-6838 ISO Abbreviation: Am. J. Kidney Dis. Publication Date: 2010 Nov |
Date Detail:
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Created Date: 2010-10-25 Completed Date: 2010-11-09 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8110075 Medline TA: Am J Kidney Dis Country: United States |
Other Details:
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Languages: eng Pagination: 994-1000 Citation Subset: IM |
Copyright Information:
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Copyright © 2010 National Kidney Foundation, Inc. Published by Elsevier Inc. All rights reserved. |
Affiliation:
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Department of Medicine, Baylor College of Medicine, Houston, TX, USA. hadrogue@bcm.tmc.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Acidosis, Respiratory
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diagnosis*,
etiology,
therapy Aged Anti-Bacterial Agents / therapeutic use* Blood Gas Analysis / methods Diagnosis, Differential Dyspnea / complications, diagnosis*, therapy Follow-Up Studies Humans Immunosuppressive Agents / therapeutic use* Lung Transplantation / methods* Male Pulmonary Fibrosis / surgery* Respiration, Artificial / methods* Severity of Illness Index |
| Chemical | |
Reg. No./Substance:
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0/Anti-Bacterial Agents; 0/Immunosuppressive Agents |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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