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117 Possible Causes for Alkalosis, Tension Pneumothorax

  • Pneumothorax

    The most common cause of tension pneumothorax is penetrating trauma.[] 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[] Arterial blood gas measurements typically show an increase in the alveolar–arterial oxygen gradient and acute respiratory alkalosis.[]

  • Acute Respiratory Distress Syndrome

    References: [8] [9] [10] Diagnostics Laboratory studies Arterial blood gas Initially, hypoxemic respiratory failure with PaO 2 and respiratory alkalosis ; PaO 2 / FiO 2 300[] Laboratory Findings Arterial Blood Gas (ABG) typically shows hypoxemia and may be accompanied with acute respiratory alkalosis due to the associated tachypnea. 2.[] In addition to hypoxemia, arterial blood gases often initially show a respiratory alkalosis.[]

  • High Altitude Pulmonary Edema

    pneumothorax, whereas relative contraindications are impaired pressure equalization and cardiac disease. [2] A study has demonstrated that exercise in hypoxic conditions[] […] exhibited symptoms of AMS manifesting as nausea and poor sleep, 3 which was a probable manifestation of periodic breathing of altitude, a phenomenon where the hypoxia and alkalosis[] Normalization of blood gas values is not required because respiratory alkalosis persists for days in at least partially acclimatized individuals descending from high altitude[]

  • Atelectasis

    (see Pneumothorax , [[Pneumothorax]]) Non-Tension Pneumothorax : introduction of air into pleural space leads to compression of adjacent lung (to some extent) and the loss[] […] breath sounds , and decreased fremitus over the affected lung References: [2] Diagnostics Arterial blood gas analysis : hypoxemia , potentially low PaCO 2 , and respiratory alkalosis[] […] in atelectasis after operation for oesophageal atresia and closure of a diaphragmatic defect no forceful procedure is indicated, in pulmonary cyst with atelectasis and in tension[]

  • Cardiogenic Shock

    CXR: can show tension pneumothorax, widened mediastinum in aortic dissection, signs of left ventricular failure.[] .  ABG shows- alkalosis with hypocapnia 4. A Case 5. CXR 6. DEFINITION  Persistent and marked hypotension( 30 minutes) with systolic arterial pressure 7.[] pneumothorax.[]

  • Septic Shock

    Tamponade, massive PE, tension pneumothorax - Sepsis -is mainly distributive shock - due to extreme vasodilation, but also has hypovolemic component (fluid leaks into intersitium[] Laboratory data Respiratory alkalosis signals impending shock that is reversible with fluid resuscitation.[] alkalosis.[]

  • Pulsus Alternans

    Pulsus Paradoxus is seen in - Mnemonic: CPR Cardiac tamponade COPD (severe) Constrictive pericarditis Pneumothorax (tension pneumothorax) Pericardial effusion (rare) Restrictive[] Pulsus alternans followed the same pattern but possibly was due to respiratory alkalosis, although blood gasses were not obtained.[] Decrease in oxygen cost of contractility during hypocapnic alkalosis in canine hearts . Am J Physiol 1996; 270 : H1905–H1913. 18.[]

  • Shock

    Possible causes are: Cardiac tamponade Tension pneumothorax Massive pulmonary embolism Pulmonary hypertension Hypertrophic cardiomyopathy Aortic stenosis Not much epidemiological[] Tension pneumothorax [13] Through increased intrathoracic pressure, bloodflow to the heart is prevented (venous return).[] Tension pneumothorax should be immediately decompressed with a catheter inserted into the 2nd intercostal space, midclavicular line; a chest tube is then inserted.[]

  • Pyloric Stenosis

    Chest radiography and computed tomography (CT) revealed a massive left pleural effusion and left tension pneumothorax.[] In addition to volume depletion, loss of gastric fluid resulted in a specific metabolic derangement-hypokalaemic, hypochloraemic normal anion gap metabolic alkalosis with[] Metabolic alkalosis-induced respiratory depression has been reported just twice previously in IHPS 1,2 .[]

  • Atracurium

    Tension pneumothorax is one of them.[] ) * Slowed by low pH (acidosis) Ester hydrolysis is * Accelerated by low pH (acidosis) * Slowed by high pH (alkalosis) * Relationship with pH is opposite to that for Hofmann[] Systemic alkalosis may diminish the degree and duration of blockade; acidosis potentiates it.[]

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