Chronic respiratory acidosis occurs secondary to achronic reduction in alveolar ventilationfor example, inchronic lung diseases such as chronic obstructive pul-monary disease (copd).
General principles of managing the patient with respiratory fail-ure.
In order to maintain acid-basehomeostasis, acid production must balance the neutraliza-tion or excretion.Generally, thePaCO2 should be similar to the two last digits of the pa-tients.Fall 2008 11 ED Insider disease, pregnancy, and septicemia.Friend Reviews, to see what your friends thought of this book, please sign.Bench-to-bedside review: A brief history of clinical itical Care.The most common acid-base derangements can be di-vided into four categories: metabolic acidosis, metabolicalkalosis, respiratory acidosis, and respiratory alkalosis.Under normal physiologic conditions, a person generates 50 to 100 mEq/day of acid from metabolism ofcarbohydrates, proteins, and fats.ED Insider tory compensation occurs almost immediately, renalmechanisms can take hours to days to make a acidosis the kidneys excrete H in urine and retainHCO3.Combined respiratory and metabolic imbalances mayoccur when the respiratory system compensates inappro-priately for metabolic imbalances.Current Medical Diagnosis and Treatment, 46th edition.Docherty B, Foudy.Lemann J,.