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Nursing CS Respiratory-Alkalosis 01

Respiratory alkalosis is caused by increased excretion of carbon dioxide by the lungs, resulting in a decreased carbon dioxide level and increased pH level. Key lab values include an increased pH and decreased carbon dioxide and bicarbonate levels. The kidneys compensate by decreasing bicarbonate excretion to bring pH levels back toward normal. Treatment involves addressing the underlying cause, such as anxiety, that is causing increased breathing.

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Lawrence Ymas
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126 views1 page

Nursing CS Respiratory-Alkalosis 01

Respiratory alkalosis is caused by increased excretion of carbon dioxide by the lungs, resulting in a decreased carbon dioxide level and increased pH level. Key lab values include an increased pH and decreased carbon dioxide and bicarbonate levels. The kidneys compensate by decreasing bicarbonate excretion to bring pH levels back toward normal. Treatment involves addressing the underlying cause, such as anxiety, that is causing increased breathing.

Uploaded by

Lawrence Ymas
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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RESPIRATORY ALKALOSIS

Definition Common
• An decrease in carbon dioxide levels due to
Causes
increased excretion by the lungs
• Excess carbon dioxide leads to pH imbalance. Hyperventilation

Lab Values
Disturbance pH CO2 HCO3- Cause Compensation
Normal or Lungs excrete Kidneys control
Respiratory alkalosis ↑ Increased ↓ Decreased
↓ decreased CO2. HCO3-.
O2 levels are not part of ABG
Normal values 7.35–7.45 35–45 mm Hg 22–26 mmol/L
imbalance determination.

Compensation
Uncompensated:
Respiratory alkalosis ↓ Decreased HCO3 Opposite system is not responding
(levels remain normal), pH remains
imbalanced.
Partial compensation:
Opposite system is working to correct
Kidneys respond to decreased CO2 Decrease in pH imbalance, pH not yet normalized.
Full compensation:
Kussmaul breathing: an abnormal rapid, deep breathing pattern that Homeostasis, all lab values return to
helps the body blow off extra CO2; often seen in DKA normal.

Example
Steps:
1. Identify pH (acidosis or alkalosis). Disturbance pH CO2 HCO3-
2. Identify CO2 (↑, ↓, normal).
3. Identify HCO3 (↑, ↓, normal). ??? 7.48 27 19
4. Which label matches pH?
5. Look at opposite system, evaluate Answer: metabolic acidosis partially compensated
if it is bringing pH back to normal.

Fix the underlying


Address anxiety, assist Renal system
Treatment cause to slow
client with relaxation. decreases HCO3-.
breathing.

NOTES

www.lecturio.com/nursing Watch Video

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