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19 Possible Causes for Alkalosis, Barrel Chest, Medication Noncompliance

  • Asthma

    A meta-analysis by DiMatteo et al [ 50 ] revealed that patients with a chronic disease and depression were three times more likely to be noncompliant with medical treatment[dx.doi.org] In the early stages of acute, severe asthma, analysis of arterial blood gases usually reveals mild hypoxemia, hypocapnia and respiratory alkalosis.[ncbi.nlm.nih.gov] Depression is a risk factor for noncompliance with medical treatment: meta analysis of the effects of anxiety and depression on patient adherence.[ncbi.nlm.nih.gov]

  • Acute Hyperventilation

    . • Patients who have been noncompliant with instructions for CPAP use prior to surgery and are in need of CPAP post surgery, pose the highest risk of potential complications[slideshare.net] Your assessment reveals that he has a barrel-shaped chest, unilaterally diminished breath sounds, and tachycardia.[quizlet.com] Compare metabolic alkalosis.[medical-dictionary.thefreedictionary.com]

  • Psychogenic Hyperventilation

    . • Patients who have been noncompliant with instructions for CPAP use prior to surgery and are in need of CPAP post surgery, pose the highest risk of potential complications[slideshare.net] . #7 If we review only barrel shaped chest, hyperresonant percussion sound, CXR: hyperinflated lung. Patient is ex-smoker.[forums.studentdoctor.net] Causes of Respiratory Alkalosis 1.[ld99.com]

  • Chronic Obstructive Pulmonary Disease

    noncompliance, cardiac ischemia, abnormal heart rhythms, kidney failure, pulmonary emboli, hypertension, and infections.[13] Treatment efforts are directed towards decreasing[en.wikipedia.org] On the lateral radiograph, a "barrel chest" with widened anterior-posterior diameter may be visualized.[radiopaedia.org] […] the predicted value pH usually is near normal; a pH below 7.3 generally indicates acute respiratory compromise Chronic respiratory acidosis leads to compensatory metabolic alkalosis[emedicine.com]

  • Pneumothorax

    noncompliance, cardiac ischemia, abnormal heart rhythms, kidney failure, pulmonary emboli, hypertension, and infections.[13] Treatment efforts are directed towards decreasing[en.wikipedia.org] .[58] Tension pneumothorax – the presence of which may be suspected due to rapidly deteriorating heart function, absent lung sounds throughout the thorax, and a barrel-shaped[en.wikipedia.org] Usually normal carbon dioxide – the lung function is still good and often the remaining normal lung can provide sufficient alveolar ventilation – but can be low Respiratory alkalosis[almostadoctor.co.uk]

  • Hypoventilation

    Previous history of venous thromboembolism, morbid obesity, male sex, hypertension, increasing age, and noncompliance with PAP treatment may further increase mortality risk[anesthesiology.pubs.asahq.org] Thoracic examination Upon thoracic examination, patients with obstructive lung disease have diffuse wheezing, hyperinflation (barrel chest), diffusely decreased breath sounds[emedicine.medscape.com] No ill-effects attributable to alkalosis were seen even in patients maintained in that state for several hours.[jamanetwork.com]

  • Status Asthmaticus

    Yet we found that noncompliance with medications and smoking and illicit drug usage increased in this recent 5‐year period compared with the prior study period.[journalofhospitalmedicine.com] ., pneumonia, pneumothorax ) Normal in mild cases Signs of pulmonary hyperinflation in cases of severe asthma Low, flattened diaphragm Wide intercostal spaces Barrel chest[amboss.com] This results to hypoxemia, respiratory alkalosis (there will be decreasing PaO2 and respiratory alkalosis, a decreased PaCO2 and an increased pH) and respiratory acidosis[rnpedia.com]

  • Chronic Right-Sided Congestive Heart Failure

    Factors aggravating heart failure • Myocardial ischemia or infarct • Dietary sodium excess • Excess fluid intake • Medication noncompliance • Arrhythmias • Intercurrent illness[slideshare.net] Wall – inspect chest wall for signs of trauma, barrel chest from COPD or accessory muscle use.[medictests.com] It may also induce a hypokalaemic metabolic alkalosis which can lessen respiratory drive through reducing the hypercapnic stimulus to breathe.[patient.info]

  • Obesity Hypoventilation Syndrome

    Previous history of venous thromboembolism, morbid obesity, male sex, hypertension, increasing age, and noncompliance with PAP treatment may further increase mortality risk[anesthesiology.pubs.asahq.org] Thoracic examination Upon thoracic examination, patients with obstructive lung disease generally have Diffuse wheezing, hyperinflation (barrel chest), Diffusely decreased[rjjaramillo.wordpress.com] […] in response to administration of excessive supplemental oxygen; (2) excessive diuresis for peripheral edema using a loop diuretic such as furosemide exacerbates metabolic alkalosis[ncbi.nlm.nih.gov]

  • Cor Pulmonale

    Acute Precipitating Factors Include (1) excessive Na intake, (2) noncompliance with heart failure medications, (3) acute MI (may be silent), (4) exacerbation of hypertension[accessmedicine.mhmedical.com] ., nodular opacities in interstitial lung disease, barrel chest in COPD ) Additional tests to screen for underlying cause Laboratory: HIV test, liver function tests ( portopulmonary[amboss.com] Reduction of blood volume and right heart load,elimination of edema Small dosage and short period Moderate degree:HCT .antisterone;Severe cases: furosemide Adverse effect: alkalosis[slideshare.net]

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