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Signs and Symptoms or Patient Hypoventilation, Patient does Patient is hyperventilated – seen Patients with: Renal Disease, decrease resp rate and depth,
not ventilate adequately, acute in patient on vent whose lungs severe diarrhea, uncontrolled circumoral parathesia,
resp diseases: pneumonia, are being overinflated, patient DM, starvation, excessive hypertonic muscles/tetany
choking, asthma, with temp, patient with brain infusion of chloride-containing
COPD/Emphysema, OD on stem injury, anyone with IV fluids, Cardiac arrest patient
narcotics or sedatives, Patients increased BMR (athlete or (heart and blood stop, can’t get
with brain injuries that are illness) or family member who is rid of acids and waste so they
affected to resp center of brain, freaking out build up)
chest injury during trauma
Manifestations headaches, dizziness, SOB, chest tightness, circumoral Kussmaul’s Resp – deep and vomiting or over suctioning (due
convulsions, increased pulse and parathesia, difficulty rapid with fruity odor, lethargy to loss of bases), Excess use of
resp rate, warm and flushed concentrating, restlessness, and confusion, headache and K+, excessive Bicarb intake (most
skin, weakness, nausea and vomiting, common way of getting Bicarb is
(drunk like – even though they antacid use)
aren’t it kind of seems like they
are)
Interventions Mechanically ventilated, Deep bag breathing, decrease temp, Give insulin to diabetic, or treat IV fluids, monitor I&Os, monitor
Breathing, Coughing, Chest Pt, get them to calm down underlying cause (dialyse patient Vital signs closely, treat
Bronchodilators, Reverse drugs (distractions, guided imagery), if with renal failure), give them underlying problem
that they OD on, increase fluids, on vent decrease volume and Bicarb,
frequently re-assess rate, use a re-breather mask
(instead of bag)