Respiratory acidosis

Adriana Arcila, Shirin Shafazand

Research output: Chapter in Book/Report/Conference proceedingChapter


C. S. is a 51-year-old, morbidly obese black male, with a history of tobacco smoking, crack cocaine abuse, chronic obstructive pulmonary disease (COPD) and an elevated left diaphragm following a left cervical blunt trauma. He was admitted for gradual exacerbation of his baseline shortness of breath. He reported increased cough and greenish sputum production. He had clinical symptoms and signs suggestive of obstructive sleep apnea. His physical examination was remarkable for morbid obesity, weighing 324 lbs (147.3 kg), increased respiratory rate of 30 breaths per minute, supraclavicular fullness, use of accessory respiratory muscles, and decreased breath sounds bilaterally at lung bases. His arterial blood gases (ABG) show pH 7.21, PaCO<inf>2</inf> 88 mmHg, PaCO<inf>2</inf> 45 mmHg, and HCO<inf>3</inf> 32 mEq/L. His oxygen saturation while breathing room air was 76 %.

Original languageEnglish (US)
Title of host publicationClinical Decisions in Nephrology, Hypertension and Kidney Transplantation
PublisherSpringer New York
Number of pages7
ISBN (Print)9781461444541, 1461444535, 9781461444534
StatePublished - Nov 1 2013

ASJC Scopus subject areas

  • Medicine(all)


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