Respiratory Acidosis Medical Management Quiz
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Questions and Answers

Bronchodilators are commonly used in the management of respiratory acidosis.

True

Antibiotics are used in the management of respiratory acidosis to reduce bronchial spasm.

False

Mechanical ventilation may be necessary to improve pulmonary ventilation in respiratory acidosis.

True

Adequate hydration is indicated in the management of respiratory acidosis to keep mucous membranes moist.

<p>True</p> Signup and view all the answers

Rapid loss of CO2 due to mechanical ventilation can lead to respiratory acidosis.

<p>False</p> Signup and view all the answers

Patients with longterm COPD may not develop symptoms of hypercapnia because compensatory renal changes have had time to occur.

<p>True</p> Signup and view all the answers

If the PaCO2 is chronically greater than 50 mm Hg, the respiratory center becomes relatively insensitive to CO2 as a respiratory stimulant.

<p>False</p> Signup and view all the answers

Patients with long-term COPD breathe independently based on a hypercapnic drive.

<p>False</p> Signup and view all the answers

High oxygen concentration administration can remove the stimulus for independent breathing in patients with long-term COPD.

<p>True</p> Signup and view all the answers

In respiratory acidosis, ABG analysis reveals a pH greater than 7.35 and a PaCO2 greater than 45 mm Hg.

<p>False</p> Signup and view all the answers

Acute respiratory acidosis is a clinical disorder in which the pH is greater than 7.35 and the PaCO2 is greater than 45 mm Hg.

<p>False</p> Signup and view all the answers

Chronic respiratory acidosis occurs in emergency situations such as acute pulmonary edema or overdose of sedatives.

<p>False</p> Signup and view all the answers

Inadequate ventilation usually causes a decrease in PaO2 in patients with respiratory acidosis.

<p>True</p> Signup and view all the answers

Respiratory acidosis can occur in diseases affecting respiratory muscle function like severe scoliosis or muscular dystrophy.

<p>True</p> Signup and view all the answers

Clinical manifestations of acute and chronic respiratory acidosis are similar.

<p>False</p> Signup and view all the answers

What clinical manifestation may a patient with acute respiratory acidosis exhibit due to an elevated PaCO2?

<p>Increased blood pressure</p> Signup and view all the answers

What may be the first sign of respiratory acidosis in anesthetized patients?

<p>Ventricular fibrillation</p> Signup and view all the answers

Why does acidosis cause hyperkalemia in the body?

<p>Because H+ ions move into the cells and displace potassium out</p> Signup and view all the answers

In chronic respiratory acidosis, which pulmonary diseases are commonly associated with its development?

<p>COPD and obstructive sleep apnea</p> Signup and view all the answers

What physiological change can occur if the PaCO2 rapidly increases in a patient with chronic respiratory acidosis?

<p>Reflexive cerebral vasodilation</p> Signup and view all the answers

Which diagnostic finding is characteristic of respiratory acidosis?

<p>PaCO2 greater than 45 mm Hg</p> Signup and view all the answers

What can cause chronic respiratory acidosis in patients with COPD?

<p>Renal retention of bicarbonate</p> Signup and view all the answers

Why may patients with long-term COPD not develop symptoms of hypercapnia?

<p>Compensatory renal changes have occurred</p> Signup and view all the answers

What is a key characteristic of arterial pH in respiratory acidosis?

<p>pH lower than 7.35</p> Signup and view all the answers

Why should oxygen administration be given with caution in patients with long-term COPD?

<p>To maintain independent breathing stimulus</p> Signup and view all the answers

What is the key difference between acute and chronic respiratory acidosis?

<p>Acute respiratory acidosis is caused by inadequate ventilation, while chronic respiratory acidosis is due to decreased CO2 excretion.</p> Signup and view all the answers

Which condition can lead to acute respiratory acidosis?

<p>Respiratory infection in COPD patients</p> Signup and view all the answers

What is a common cause of chronic respiratory acidosis in patients with severe COPD?

<p>Respiratory infection</p> Signup and view all the answers

What is a clinical manifestation that can be observed in both acute and chronic respiratory acidosis?

<p>Bronchospasm</p> Signup and view all the answers

Why does inadequate ventilation usually cause a decrease in PaO2 in patients with respiratory acidosis?

<p>Because of inadequate oxygenation of the blood</p> Signup and view all the answers

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