In patients without chronic obstructive pulmonary disease, a Paco2 greater than 50 mm Hg is usually an indication for mechanical ventilation, regardless of oxygenation status (this patient was oxygenating well: Pao2 111 mm Hg, Sao2 100%). Oxygen (Answer B) therapy alone is unlikely to correct this patient’s cause of respiratory failure (i.e., hypoventilation). Likewise, his acid-base disturbance is consistent with a pure acute respiratory acidosis (elevated Paco2, normal HCO3 −) and is therefore unlikely to respond to HCO3 − (Answer C), or tromethamine (Answer A), which is usually reserved for a severe metabolic acidosis. Given this patient’s neurologic status and elevated Paco2, he should be intubated and transferred to the ICU (Answer D is correct).
@@pharmacist_ahmedtokhy هو انا الي فهمته من حضرتك انو يفضل نستعمله ولكن بالمحاضره بتاعتي مكتوب انو لازم يستعمل بحذر وفقط في حاله انو ضغط الأوكسجين اقل من 50mmhg
In patients without chronic obstructive pulmonary disease, a Paco2 greater than 50 mm Hg is usually an indication for mechanical ventilation, regardless of oxygenation status (this patient was oxygenating well: Pao2 111 mm Hg, Sao2 100%). Oxygen (Answer B) therapy alone is unlikely to correct this patient’s cause of respiratory failure (i.e., hypoventilation). Likewise, his acid-base disturbance is consistent with a pure acute respiratory acidosis (elevated Paco2, normal HCO3 −) and is therefore unlikely to respond to HCO3 − (Answer C), or tromethamine (Answer A), which is usually reserved for a severe metabolic acidosis. Given this patient’s neurologic status and elevated Paco2, he should be intubated and transferred to the ICU (Answer D is correct).
No , hypoventilation means that the lung can't get red of CO2 --> CO2 accumulation in the lung --> increase acidity due to increase proton ions in the blood ----> respiratory asidosis
In patients without chronic obstructive pulmonary
disease, a Paco2 greater than 50 mm Hg is usually an
indication for mechanical ventilation, regardless of
oxygenation status (this patient was oxygenating well:
Pao2 111 mm Hg, Sao2 100%). Oxygen (Answer B) therapy
alone is unlikely to correct this patient’s cause of
respiratory failure (i.e., hypoventilation). Likewise, his
acid-base disturbance is consistent with a pure acute
respiratory acidosis (elevated Paco2, normal HCO3
−) and is therefore unlikely to respond to HCO3 − (Answer C),
or tromethamine (Answer A), which is usually reserved
for a severe metabolic acidosis. Given this patient’s
neurologic status and elevated Paco2, he should be intubated
and transferred to the ICU (Answer D is correct).
شرحك مفهوم جدا وجزاك الله الف خير
@ElizabethAljadabi شكرا جدا لحضرتك ربنا يحفظك ويوفقك ويسعدك يارب العالمين
يعطيك العافية والله وايد استفدت منك عساك للجنة❤️
شكرا جدا لحضرتك
@@pharmacist_ahmedtokhy
دكتور ممكن جواب لسوالي لحاله respiratory acidosis
لماذا لا نستخدم للمريض oxygen ؟!
لا احنا بنستخدم اكسجين فعلا طالما المريض محتاج دا
@@anwarmohamed2308
@@pharmacist_ahmedtokhy هو انا الي فهمته من حضرتك انو يفضل نستعمله ولكن بالمحاضره بتاعتي مكتوب انو لازم يستعمل بحذر وفقط في حاله انو ضغط الأوكسجين اقل من 50mmhg
@@anwarmohamed2308 حسب الحاله محتاجه هنستخدمه مش محتاجه وبتتنفس طبيعي يبقي لا مستخدموش
جزاك الله خير يارب العالمين ❤
شكرا لمجهود حضرتك 🌹👍🌹👍🌹
بارك الله فيك
اللهم آمين يارب العالمين
اللهم بارك بجد اكتر من رائع
بارك الله فيك وجعلها في ميزان حسناتك
اللهم آمين يارب
ربنا يبارك في حضرتك
شكرا جدا ربنا يوفقك يا رب دائما
جزاك الله خيرا كثيرا
اللهم آمين ربنا يوفقك يا رب دائما
D... Respiratory acidosis
Respir. Failure
إجابة ممتازه 👏👏
ليه failure???
والله وحش ❤ تبارك الرحمن ❤️🔥❤️🔥💥
ربنا يحفظك يا رب
Respiratory acidosis , ليه D مش c
In patients without chronic obstructive pulmonary
disease, a Paco2 greater than 50 mm Hg is usually an
indication for mechanical ventilation, regardless of
oxygenation status (this patient was oxygenating well:
Pao2 111 mm Hg, Sao2 100%). Oxygen (Answer B) therapy
alone is unlikely to correct this patient’s cause of
respiratory failure (i.e., hypoventilation). Likewise, his
acid-base disturbance is consistent with a pure acute
respiratory acidosis (elevated Paco2, normal HCO3
−) and is therefore unlikely to respond to HCO3 − (Answer C),
or tromethamine (Answer A), which is usually reserved
for a severe metabolic acidosis. Given this patient’s
neurologic status and elevated Paco2, he should be intubated
and transferred to the ICU (Answer D is correct).
شكرا ع التوضيح جزاك الله خيرا
بس respiratory alkalosis بكون عندهم hypoventilation مزبوط؟؟؟؟؟؟؟
Hyperventilation paco2⬇️
No , hypoventilation means that the lung can't get red of CO2 --> CO2 accumulation in the lung --> increase acidity due to increase proton ions in the blood ----> respiratory asidosis
Un comp. Respiratory acidosis (D)
برافو جدا اجابة ممتازة
م فهمت الكيسز 💔
Partially compensated , (Respiratory acidosis)
Respiratory acidosis , D
برافو يا دكتورة ايه 👍👍💪💪
Intubation
برافو يا دكتورة👍💪
ليه مش C
شكرا جزيلا ربنا يحفظك ويبارك فيك