Air is breathed in through the nasal passageways, travels through the trachea and bronchi to the lungs.
Also known as: Ventilatory failure, Respiratory failure or Acidosis - respiratory
Definition
Respiratory acidosis is a condition that occurs when the lungs cannot remove all of the carbon dioxide the body produces. This disrupts the body's acid-base balance causing body fluids, especially the blood, to become too acidic.
Diseases of the chest (such as sarcoidosis), which make the lungs less efficient at filling and emptying
Diseases affecting the nerves and muscles that "signal" the lungs to inflate or deflate
Drugs that suppress breathing (including powerful pain medicines, such as narcotics, and "downers," such as benzodiazepines), especially when combined with alcohol
Severe obesity, which restricts how much the lungs can expand
Chronic respiratory acidosis occurs over a long period of time. This leads to a stable situation, because the kidneys increase body chemicals, such as bicarbonate, that help restore the body's acid-base balance.
Acute respiratory acidosis is a severe condition in which carbon dioxide builds up very quickly and before the kidneys can return the body to a state of balance.
Symptoms
Symptoms may include:
Confusion
Easy fatigue
Lethargy
Shortness of breath
Sleepiness
Signs and tests
Arterial blood gas (measures levels of oxygen and carbon dioxide in the blood; in respiratory acidosis, the level of carbon dioxide is too high)
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Review date:
August 8, 2009
Reviewed by:
David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
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