a patient presents in a state of ketoacidosis (a type of metabolic acidosis in which the pH of the blood drops?

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), after going on a no-carb, all-fat diet. will the patient be hyperventilating or hypoventilating? why?

thank you!

4 Answers

  • Kussmaul breathing is a deep and labored breathing pattern often associated with severe metabolic acidosis, particularly diabetic ketoacidosis (DKA) but also renal failure. It is a form of HYPERventilation, which is any breathing pattern that reduces carbon dioxide in the blood due to increased rate or depth of respiration.

    In metabolic acidosis, breathing is first rapid and shallow but as acidosis worsens, breathing gradually becomes deep, labored and gasping. It is this latter type of breathing pattern that is referred to as Kussmaul breathing.

    Kussmaul breathing is respiratory compensation for a metabolic acidosis, most commonly occurring in diabetics in diabetic ketoacidosis. Blood gases on a patient with Kussmaul breathing will show a low partial pressure of CO2 in conjunction with low bicarbonate because of a forced increased respiration (blowing off the carbon dioxide). Base excess is severely negative. The patient feels an urge to breathe deeply, an “air hunger”, and it appears almost involuntary.

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  • respiration alkalosis outcomes from hyperventilation, no longer tachypnea. The adequacy of ventilation is predicated on the pCO2 of arterial blood, which will desire to be extremely close to to 40mmHg. respiration alkalosis is likewise defined per arterial pCO2. If the ventilatory value is sufficient to reason a drop in arterial pCO2, then the affected person is hyperventilating. If this ventilation is adequate adequate to tournament the diagnostic standards for respiration alkalosis (which oftentimes has precisely the comparable definition per pCO2 gazing the source), then the affected person would nicely be defined as such. In any adventure, in simple terms based on the definition, you could no longer have respiration alkalosis with out hyperventilation. i’m in simple terms saying. in case you’re gonna stroke your ego by ability of mounting your psychological extreme horse, a minimum of attempt to be precise. Edit: I by no ability suggested you need to no longer hyperventilate with out inflicting respiration alkalosis. What I suggested became you need to no longer have respiration alkalosis with out hyperventilation using fact it is going to proceed it. You absoutely would desire to hyperventilate to offer respiration alkalosis using fact there is no incorrect thank you to reason respiration ALKALOSIS. besides, your occasion of quickly shallow respiratory that doesn’t decrease arterial pCO2 is tachypnea, no longer hyperventilation. bear in suggestions, tachypnea is breath value that exceeds 20 breaths per minute; hyperventilation is any respiratory value it quite is to quickly to maintain CO2 homeostasis in the right selection. respiration alkalosis is a illness subsequently of extreme hyperventilation.

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