Common Patterns of Water and Electrolyte Change in Injury, Surgery and Disease

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Abstract
Acute Respiratory Acidosis Clinical setting and appearances. Sudden interference with the patient's effective pulmonary ventilation is the clinical setting for acute respiratory acidosis (Fig. 11). Obstruction of the air passages in wounds or burns of the upper respiratory tract, pulmonary edema, pulmonary infection, atelectasis, pneumothorax, hemothorax and the open chest are all settings in which this can be produced. Poliomyelitis, crippling positions on the operating table, abdominal distention and overdose of opiates may result in acute respiratory acidosis. Severe acidosis can be present even when the patient has normal color and good oxygenation. When ventilation is precarious, respiratory acidosis may . . .

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