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497 Possible Causes for Hypotension, Respiratory Alkalosis

  • Upper Respiratory Infection

    The risk of mortality is significant in patients who progress to streptococcal toxic shock syndrome, which is characterized by multiorgan failure and hypotension.[emedicine.medscape.com] Three to four hour polygraphic sleep studies were carried out in 10 infants, five with upper respiratory infection and five with metabolic alkalosis secondary to vomiting[ncbi.nlm.nih.gov] During upper respiratory infection, the main abnormality detected was brief (greater than 3 less than 6 seconds) or prolonged (greater than 6 seconds) attacks of obstructive[ncbi.nlm.nih.gov]

  • Heat Stroke

    The body compensates with acute respiratory alkalosis secondary to increased respiratory effort. This may in itself lead to heat‐induced tetany.[bja.oxfordjournals.org] In addition, pulmonary edema, coma, hypotension, and hyperpyrexia occurred.[ncbi.nlm.nih.gov] There were only 2 serious cardiac events (1 myocardial infarction and 1 hypotensive supraventricular tachyarrhythmia), neither of which were fatal or life threatening.[ncbi.nlm.nih.gov]

  • Sepsis

    Septic shock is defined as hypotension with a mean arterial pressure less than 65 mm Hg, requiring vasopressors despite adequate fluid resuscitation and/or lactic acid levels[ncbi.nlm.nih.gov] Patients with bacteremia from any source often display an increased breathing rate resulting in respiratory alkalosis .[emedicine.medscape.com] alkalosis Warm or cold skin, depending on the adequacy of organ perfusion and dilatation of the superficial vessels of the skin The following factors suggest an IV line infection[emedicine.medscape.com]

  • Acute Respiratory Distress Syndrome

    It is feasible that severe acidosis, hypotension, azotemia, hypoalbuminemia and the superimposed aggressive intravenous fluid administration were important risk factors for[ncbi.nlm.nih.gov] 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[amboss.com] A 54-year-old woman presented with fever, hypotension, and pancytopenia, with peripheral smear diagnostic of ehrlichiosis.[ncbi.nlm.nih.gov]

  • Septicemia

    Septic shock• Sepsis with– Hypotension, for at least 1 h, despite adequate fluidresuscitation– Need for vesopressor9 10.[slideshare.net] alkalosis Warm or cold skin, depending on the adequacy of organ perfusion and dilatation of the superficial vessels of the skin The following factors suggest an IV line infection[emedicine.medscape.com] Signs of established sepsis include confusion, metabolic acidosis (which may be accompanied by faster breathing and lead to a respiratory alkalosis ), low blood pressure due[en.wikipedia.org]

  • Acute Liver Failure

    Metabolic: Metabolic and respiratory alkalosis may occur early. If shock develops, metabolic acidosis can supervene.[merckmanuals.com] Clinical examination showed an extensive coagulation disorder, diffuse hematomas, hypotension and tachypnea.[ncbi.nlm.nih.gov] Vascular: "Shock liver" from extreme hypotension, Budd-Chiari, Veno-occlusive disease 4.[errolozdalga.com]

  • Septic Shock

    hypotension, and both refractory hypotension and hyperlactatemia.[ncbi.nlm.nih.gov] When respiratory muscles fatigue the accumulation of serum lactate occurs. Metabolic acidosis (increased anion gap) supervenes the respiratory alkalosis.[atsu.edu] Whatever its cause, the high respiratory rate can cause a profound respiratory alkalosis that counterbalances lactic acidemia It may actually shift the patient's pH toward[www2.hawaii.edu]

  • Metabolic Alkalosis

    We describe a case of medication induced metabolic alkalosis in a maintenance dialysis patient who developed severe hypotension while undergoing a lactate hemofiltration procedure[ncbi.nlm.nih.gov] "Respiratory acidosis" caused by increased carbonic acid. 2. "Respiratory alkalosis" caused by decreased carbonic acid. 3.[quizlet.com] On this admission, the patient had recurrent bouts of vomiting induced by psychiatric eating disorder and showed severe volume depletion with hypotension, azotemia and metabolic[ncbi.nlm.nih.gov]

  • Syncope

    We reported a 75-year-old man who had recurrent syncope attacks secondary to hypotension and reduced plasma norepinephrine (NE) levels.[ncbi.nlm.nih.gov] Hysteria and hyperventilation do not fall in this category because they cause "light-headedness" through respiratory alkalosis brought on by blowing off carbon dioxide too[courses.washington.edu] The modifying influence of prolonged antihypertensive treatment on the tolerance to acute, drug-induced hypotension. Circulation 1976;53:720–727.[innovationsincrm.com]

  • Theophylline

    In overdose, it causes hypotension, bradycardia and drowsiness.[ncbi.nlm.nih.gov] Arterial blood gas analysis revealed a mixed metabolic acidosis and respiratory alkalosis. Serum lactate level was 51 mmol/L (normal 0.7-2.1 mmol/L).[ncbi.nlm.nih.gov] alkalosis.[lifeinthefastlane.com]

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