63-year-old female who was admitted with shortness of breath.
You are asked to review a 63-year-old female who was admitted with shortness of breath. On your arrival, the patient appears drowsy and is on 10L of oxygen via a mask. You perform an ABG and receive the following results…
PaO2: 7.0 (11-13 kPa)
pH: 7.29 (7.35 – 7.45)
PaCO2: 9.1 (4.7-6.0 kPa)
HCO3–: 26 (22-26 mEg/L)
Base excess: +1 (-2 to +2)
WHAT DOES THE ABG SHOW?WHICH TYPE OF RESPIRATORY FAILURE IS DEMONSTRATED?
WHAT SYMPTOMS OR SIGNS ARE ASSOCIATED WITH HYPERCAPNIA (↑CO2)?
WHAT IS THE DIFFERENTIAL DIAGNOSIS FOR THIS TYPE OF RESPIRATORY FAILURE?