Respiratory Acidosis Research Paper

1070 Words5 Pages
Respiratory Acidosis
My topic for my paper is Respiratory acidosis. The article I chose in relation to my patient in ICU was Interpreting Arterial Blood Gases by Georgina Casey. I chose this article because it is informative and helpful to me as a soon to be graduating nurse. Throughout this paper I will give a brief description of my patient, the pathophysiology of respiratory acidosis, the article summary and describe how this is helpful to me as a beginner nurse.
My Patient
My patient was a 70-year-old female who came in for a scheduled mitral valve repair. The surgeon was unable to repair the valve so the valve was replaced with a mechanical valve. Due to the inability to repair the valve and the patient’s undiagnosed sleep apnea; the patient was on bypass for four and a half hours. When staff later tried to extubate her, and use a BiPap, she became acidotic and was intubated again. Her main diagnosis was respiratory acidosis r/t undiagnosed sleep apnea, prolonged anesthesia, bypass use and
…show more content…
Respiratory acidosis results from impaired ventilation which produces an increase in PaCO2 levels, leading to increased carbonic acid and H+ ion concentration in the plasma, and lowered pH. If the respiratory acidosis continues, compensation occurs via increased retention of bicarbonate and increased secretion of acid in the kidneys. This is a slow process, taking six to 12 hours for activation and three to four days for full effect. Signs and symptoms of hypercapnia and acidosis are: vasodilation, flushing and warm peripheries; headache and raised intracranial pressure (due to ions, depending on the concentration of vasodilation of coronary blood vessels); drowsiness, confusion and coma; flapping tremor, and muscle weakness. The goal would be to remove the excess CO2 but removing too much could result in the patient becoming

More about Respiratory Acidosis Research Paper

Open Document