PHIL 2015 Chapter Notes - Chapter 6.8: Metabolic Acidosis, Spasm, Hyperventilation
23 May 2020
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If you are hypoventilating , you build up co2, but o2 levels drop. Low ph stimulates kidney to produce bicarbonate by breaking down glutamine protein (compensation). The treatment is to treat the underlying cause. If possible or necessary use an antagonist (i. e. naloxone if problem with morphine?). Reduce work of breathing with bronchodialtors, and small minority require assisted breathing with ventilator. So, respiratory acidsosi is too little breathing due to: drug suppression of breathing, nerve problem, or fatigue due to lung disease. Hyperventilation due to lung disease in early phases. Reduces the level of co2 and leads to reduced h+. Even sick longs are quite getting rid of co2, and it is only when people start to get this fatigue of breathing that they start to retain co2. Cirrhosis scarring disease- sick liver makes things in abnormal ways, and you end up with a high level of progesterone that stimulate breathing (as it does in pregnancy).
