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239 Possible Causes for Dyspnea at Rest, Metabolic Acidosis

  • Pneumonia

    Tissue hypoxia leads to anaerobic metabolism, which causes metabolic acidosis.[ems1.com] As the patient’s respiratory rate increases to compensate for metabolic acidosis, excess CO2 is eliminated. Normal end-tidal CO2 level is between 35 and 45 mm Hg.[ems1.com] When the body’s immune response to pneumonia becomes systemic and causes sepsis, the respiratory compromise may be further complicated by metabolic acidosis and shock.[ems1.com]

  • Hypoxia

    Hypoxia, Metabolic Acidosis, and the Circulation . Springer. pp. 4–5. ISBN 978-1461475422 . Michiels, Carine (2004).[en.wikipedia.org] The patient described his dyspnea as exertional progressing over 1 week to rest dyspnea. He was prescribed antiretroviral therapy but was noncompliant.[ncbi.nlm.nih.gov] The encephalopathic neonate may have low Apgar scores at delivery and metabolic acidosis documented in the cord blood.[radiopaedia.org]

  • Klebsiella Pneumoniae

    He had a low oxygen fraction, and metabolic acidosis was corrected.[academic.oup.com] About ten days after transplant he developed acute dyspnea at rest, with fever, cough and chest pain.[imedpub.com] Despite intensive anti-shock, antibacterial and anti-inflammatory treatment, hypotension occurred which consequences were abnormal perfusion and increasing metabolic acidosis[archivesofmedicine.com]

  • Acute Respiratory Distress Syndrome

    This rapidly progresses to severe dyspnea at rest, tachypnea, anxiety, agitation, and the need for increasingly high concentrations of inspired oxygen.[emedicine.medscape.com] These include older age, chronic alcohol abuse, metabolic acidosis, and severity of critical illness.[accessmedicine.mhmedical.com] However, in ARDS occurring in the context of sepsis, a metabolic acidosis with or without respiratory compensation may be present.[emedicine.medscape.com]

  • Pulmonary Alveolar Proteinosis

    On examination, she had dyspnea at rest, tachypnea, tachycardia, clubbing, bilateral pitting pedal edema and oxygen saturation was maintained only with non-invasive ventilator[lungindia.com] This metabolic acidosis was reversed in the first hours postoperatively and no comorbidities were identified after that.[elsevier.pt] PaO2 Alveolar-arterial O2 gradient 40 mmHg at rest Severe dyspnea Hypoxemia Contraindication: [42] Clotting disorders Anesthetic risks Cardiopulmonary instability Medical[wikidoc.org]

  • Heart Failure

    Normal or high anion gap metabolic acidosis commonly accompanies hypernatremic dehydration.[ncbi.nlm.nih.gov] These include, among others: Dyspnea ( exertional- , dyspnea at rest , orthopnea , paroxysmal nocturnal dyspnea); Fatigue, inadequate exhaustion after stress, weakness, lethargy[flexikon.doccheck.com] Dyspnea at rest Dyspnea at rest in heart failure is the result of the following mechanisms: Decreased pulmonary function secondary to decreased compliance and increased airway[emedicine.medscape.com]

  • Hemothorax

    We found two independent causes of this fatality: hypovolemic shock and acute extrinsic metabolic acidosis.[ncbi.nlm.nih.gov] Rest dyspnea and acute pain behind a breastbone are the most troubling manifestations.[intranet.tdmu.edu.ua] We present the case of a 39 year-old male patient admitted to ICU with symptoms of acute metabolic acidosis. He was investigated for the presence of methanol and glycol.[ncbi.nlm.nih.gov]

  • Pulmonary Edema

    Class IV is defined by symptoms at rest or with any physical activity.[radcliffecardiology.com] acidosis.[ncbi.nlm.nih.gov] […] relative hypoxia and a mixed respiratory and metabolic acidosis pH 7.12 pCO2 8.5 pO2 12.3 Sats 92% HCO3 13 BXS -6 Lactate 5.8 mmol/L Other investigations (i) Echocardiography[rcemlearning.co.uk]

  • Thyroid Crisis

    acidosis, thyroid storm and myxoedema coma.[books.google.de] Rationale: Pulse is typically elevated and, even at rest, tachycardia (up to 160 beats/min) may be noted. Note development of tachypnea, dyspnea, pallor, and cyanosis.[rnpedia.com] MH is commonly associated with a mixed metabolic and respiratory acidosis on arterial blood gas.[openanesthesia.org]

  • Carbon Monoxide Poisoning

    He was found to have a metabolic acidosis, a carboxyhemoglobin of 36.8%, hyperkalemia, and rhabdomyolysis.[ncbi.nlm.nih.gov] She had metabolic acidosis.[ncbi.nlm.nih.gov] Arterial blood gas (ABG) sample analysis revealed metabolic acidosis and hypoxemia with pH 7.2.[ncbi.nlm.nih.gov]

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