1. look at pH: What is your first step when interpreting ABGs?
2. Respiratory acidosis: What acid-base imbalance would you expe
asthmatic patient? ct to see in an
3. *COPD*
*asthma*
*muscle weakness*
ªinadequate chest expansion
ªpneumonia
ªpulmonary edema
ªsleep apnea
ªrespiratory depression r/t: drugs, alcohol, anesthesia, electrolyte imbal ance
ªhigh ICP: Common causes of Respiratory Acidosis
4. *Vital Signs, think LOW & SLOW*
ªbradycardia, thready weak pulses
ªhypotension
,ªhypoxia
*Electrolyte Imbalance*
ªhyperkalemia
*Skin*
ªpale, cyanotic
*CNS Depression, think LOW & SLOW*
ªlethargy
ªconfusion
ªstupor
ªcoma
ªheadache
*Musculoskeletal, think LOW & SLOW*
ªhyporeflexia
, ªmuscle weakness
ªflaccid paralysis
*Cardiac*
ªheart dysrhythmias (due to hyperkalemia)
ªincreased cardiac output
ªEKG changes - tall T waves, wide QRS, prolonged PR interval: S/S of Respira-
tory Acidosis
(acidosis has similar s/s no matter if met. or resp.)
5. *stabilize airway (patent)*
*bronchodilators*
ªO2
ªPulmonary hygiene (positioning and breathing/coughing techniques)
ªSuction PRN
ªIf on ventilation, increase ventilation rate.
ªEndotracheal intubation
For underlying causes:
ªCorrect electrolyte balance (hyperkalemia)
ªAntibiotics (if it's infection): Treatment for Respiratory Acidosis