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197 Possible Causes for Hypercapnia, Hyperkalemia, Respiratory Failure

  • Respiratory Acidosis

    A 76-yr-old woman with chronic type 2 respiratory failure underwent hypoxic challenge testing (HCT) to assess in-flight oxygen requirements.[ncbi.nlm.nih.gov] Moderate hypercapnia had no effect on these parameters.[ncbi.nlm.nih.gov] CNS; HA, drowsy, restless, tremor, cofusion, disorientation - COMA (cerebral vasodilation, increased bloodflow to brain) & death -increased HR, lack of energy, weakness -hyperkalemia[quizlet.com]

  • Acute Respiratory Distress Syndrome

    Early evidence suggests that therapeutic hypothermia (TH) could be a viable treatment for acute respiratory failure.[ncbi.nlm.nih.gov] PEEP will be titrated individually against peripheral oxygen saturation, targeting lower tidal volumes by a permissive approach to hypercapnia.[ncbi.nlm.nih.gov] Acute respiratory distress syndrome (ARDS) is characterized as an acute hypoxemic and/or hypercapnic respiratory failure seen in critically ill patients and is still, although[ncbi.nlm.nih.gov]

  • Status Epilepticus

    Systemic changes requiring medical intervention include hypoxia, hypercapnia, hypoglycemia, metabolic acidosis, and other electrolyte disturbances.[aafp.org] Caution is required, however, because ongoing status epilepticus may cause hyperkalemia after 20-30 minutes.[emcrit.org] ODs were observed in three GCSE patients (60%, multiple organ failure, arrhythmia, and liver dysfunction), six NCSE patients (40.0%, acute respiratory failure, alveolar hypoventilation[f1000research.com]

  • Hypercapnia

    Respiratory failure has been associated with depressed ventilatory responses to hypoxia or hypercapnia or both.[ncbi.nlm.nih.gov] Hypercapnia can induce increased cardiac output, an elevation in arterial blood pressure, and a propensity toward arrhythmias . [4] [5] Hypercapnia may increase pulmonary[en.wikipedia.org] We report a case in which low-dose dantrolene administered intravenously during LTx was effective in treating hyperthermia, hypercapnia, and hyperkalemia.[ncbi.nlm.nih.gov]

  • Myxedema Coma

    The implications of this delayed respiratory failure during the treatment of myxedema coma are discussed.[ncbi.nlm.nih.gov] Low blood sugar , low blood pressure , hyponatremia , hypercapnia , hypoxia, slowed heart rate , and hypoventilation may also occur. [1] Myxedema , although included in the[en.wikipedia.org] […] anemia (11.1 g/dl, normal 11.0-15.0 g/dl) with macrocytosis (mean corpuscular volume 103.1 fl, normal 79.0-97.0 fl), mild hyponatremia (134 mEq/l, normal 136-145 mEq/l), hyperkalemia[termedia.pl]

  • Status Asthmaticus

    Hence, we conclude that the duration of hypercapnia is an important determinant of the morbidity and mortality of status asthmaticus-induced severe hypercapnia.[ncbi.nlm.nih.gov] Treatment : Mannitol , consider intubation, mechanical ventilation 2. cardiac arrythmia - due to electrolyte disturbance (hypo/ hyperkalemia ) 3. fluid overload 4. hypoglycemia[ohsu.edu] The study population included 1,257 adults with respiratory failure requiring ECLS. Status asthmaticus was the primary indication for ECLS in 24 patients.[ncbi.nlm.nih.gov]

  • Extramedullary Hematopoiesis

    This is the first case of intrathoracic EMH to have recurrent hemothorax associated with acute respiratory failure.[ncbi.nlm.nih.gov] At referral, when her condition was clinically stable, she had persistent hypercapnia and severely restrictive lung function (forced vital capacity, 0.84 liter; forced expiratory[nejm.org] The patient had a hemoglobin level of 7.2 g per deciliter (reference range, 11.1 to 15.0), hyperkalemia, and a serum creatinine level of 6.7 mg per deciliter (592 μmol per[nejm.org]

  • Carbon Monoxide Poisoning

    HBOT was associated with a lower mortality rate in patients with COP, especially in those who were younger than 20 years and those with acute respiratory failure.[ncbi.nlm.nih.gov] He was found to have a metabolic acidosis, a carboxyhemoglobin of 36.8%, hyperkalemia, and rhabdomyolysis.[ncbi.nlm.nih.gov] Extracorporeal membrane oxygenation (ECMO) has been utilized effectively in patients with respiratory failure and hemodynamic instability, but its use has rarely been reported[ncbi.nlm.nih.gov]

  • Dantrolene

    […] and multiple episodes of lung collapse and respiratory failure.[omicsonline.org] We report a case in which low-dose dantrolene administered intravenously during LTx was effective in treating hyperthermia, hypercapnia, and hyperkalemia.[ncbi.nlm.nih.gov] Cases of hyperkalemia leading to cardiovascular collapse have been reported.[openanesthesia.org]

  • Dialysis Disequilibrium Syndrome

    We describe a case of the dialysis disequilibrium syndrome (DDS) that was marked by the rapid onset of cerebral edema and the subsequent development of acute respiratory failure[ncbi.nlm.nih.gov] Intracranial hypertension at 12:30 p.m. was due to hypotension after increased neurosedation and at 1:30 p.m. was due to hypercapnia (50 mm Hg) after a change of ventilation[ccforum.biomedcentral.com] The patient was dialyzed the following morning for severe hyperkalemia. Approximately 3 hours into dialysis, he developed absent brainstem reflexes.[neurology.org]

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