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respiratory insufficiency
Inadequate exchange of oxygen between the pulmonary alveoli & the blood in the pulmonary capillaries.
Etiology: see dyspnea
Clinical manifestations:
-> dyspnea
Laboratory:
1) arterial blood gas will show
a) hypoxia
b) hypercarbia may be present
c) respiratory acidosis
2) serum bicarbonate may be high if time to allow metabolic compensation has elapsed
Management:
1) treat underlying etiology
2) oxygen administration
3) mechanical ventilation may be indicated
References
Stedman's Medical Dictionary 27th ed, Williams &
Wilkins, Baltimore, 1999