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239 Possible Causes for Dyspnea at Rest, Metabolic Acidosis

  • Pneumonia

    Tissue hypoxia leads to anaerobic metabolism, which causes metabolic acidosis.[] 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.[] 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.[]

  • Hypoxia

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

  • Klebsiella Pneumoniae

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

  • 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.[] These include older age, chronic alcohol abuse, metabolic acidosis, and severity of critical illness.[] However, in ARDS occurring in the context of sepsis, a metabolic acidosis with or without respiratory compensation may be present.[]

  • 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[] This metabolic acidosis was reversed in the first hours postoperatively and no comorbidities were identified after that.[] PaO2 Alveolar-arterial O2 gradient 40 mmHg at rest Severe dyspnea Hypoxemia Contraindication: [42] Clotting disorders Anesthetic risks Cardiopulmonary instability Medical[]

  • Heart Failure

    Normal or high anion gap metabolic acidosis commonly accompanies hypernatremic dehydration.[] These include, among others: Dyspnea ( exertional- , dyspnea at rest , orthopnea , paroxysmal nocturnal dyspnea); Fatigue, inadequate exhaustion after stress, weakness, lethargy[] 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[]

  • Hemothorax

    We found two independent causes of this fatality: hypovolemic shock and acute extrinsic metabolic acidosis.[] Rest dyspnea and acute pain behind a breastbone are the most troubling manifestations.[] 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.[]

  • Pulmonary Edema

    Class IV is defined by symptoms at rest or with any physical activity.[] acidosis.[] […] 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[]

  • Thyroid Crisis

    acidosis, thyroid storm and myxoedema coma.[] 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.[] MH is commonly associated with a mixed metabolic and respiratory acidosis on arterial blood gas.[]

  • Carbon Monoxide Poisoning

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

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