Diagnosis and treatment of respiratory alkalosis

This is an automatically translated article.


Anxiety and fear make the patient breathe faster and deeper. These are the leading causes of CO2 imbalance in the body and lead to respiratory alkalosis. This condition can cause some unpleasant symptoms for the patient. So how to treat respiratory alkalosis effectively and quickly?

1. What is respiratory alkalosis?


When we breathe, oxygen enters the body and CO2 is eliminated into the environment. Normally, the process of respiration always keeps an equilibrium with the concentration of CO2 and oxygen. However, for some reason, this balance is lost, causing excessive CO2 excretion in the lungs, leading to an increase in blood pH and causing respiratory alkalosis.
Respiratory alkalosis, although not life-threatening, is considered to have a serious effect on some patients with central nervous system disorders. Respiratory alkalosis can be either chronic or acute, usually the chronic form is asymptomatic while the acute form can cause certain discomfort to the patient such as dizziness, convulsions or possibly fainting. .

2.Causes of respiratory alkalosis


Respiratory alkalosis occurs when the patient increases breathing, breathing faster and deeper, leading to increased alveolar gas exchange, increased CO2 elimination from the circulatory system. Causes of rapid breathing, hyperventilation include:
Hypoxemia: Low oxygen pressure during inspiration, going to high terrain, thinner air, ventilation asymmetry, pulmonary perfusion, hypotension, severe anemia Central nervous system diseases: Hyperventilation due to fear, this is a common cause of respiratory alkalosis, neuropathy, cerebrovascular accident, infection, light trauma, brain tumor, irritation due to drug use, liver failure, sepsis, metabolic acidosis...
Diseases related to the lungs: interstitial lung disease, pneumonia, pulmonary embolism, pulmonary edema. .. The patient is on ventilators excessively

Bệnh phổi kẽ là nguyên nhân hình thành nhiễm kiềm hô hấp
Bệnh phổi kẽ là nguyên nhân hình thành nhiễm kiềm hô hấp

3.Common symptoms in people with respiratory alkalosis


Respiratory alkalosis has the most recognizable symptom of faster breathing, however, due to low CO2 in the blood, the patient will have additional symptoms as follows:
Mild headache Dizziness Constipation Dizziness Contraction hands and feet feel numb at the same time Chest feels uncomfortable Confusion Dry mouth Cramps Tingling in arms Fast heartbeat Feeling short of breath Fainting

Xét nghiệm khí máu động mạch giúp chẩn đoán nhiễm kiềm hô hấp
Xét nghiệm khí máu động mạch giúp chẩn đoán nhiễm kiềm hô hấp

However, these symptoms only partially help the doctor make an initial conclusion about respiratory alkalosis, to confirm the final diagnosis, the patient will be assigned to perform arterial blood gas and blood gas testing. Electrolyte to detect respiratory alkalosis.

4. How to treat respiratory alkalosis?


To treat respiratory alkalosis effectively, the doctor will base on the cause of formation to give the most appropriate respiratory alkalosis treatment.
For the cause of panic and anxiety: The patient can use a paper bag to breathe CO2 into it and inhale this gas back into the lungs, repeating several times to bring the CO2 concentration in the body back to balance. equal. This is an effective, simple and easy way to treat respiratory alkalosis. In addition, patients with respiratory alkalosis due to anxiety and panic after experiencing symptoms caused by them are even more confused and afraid, the patient needs to have relatives or friends by his side to reassure his fear. , adjust the expiratory rate to get rid of respiratory alkalosis. The patient can also limit the amount of oxygen entering the body by pursed lips while breathing or breathing through only one nostril, using the hand to close the next nostril and mouth.

Tập thể dục thường xuyên và tập hít thở điều chỉnh hơi thở của bản thân rất tối cho bệnh nhân nhiễm kiềm hô hấp
Tập thể dục thường xuyên và tập hít thở điều chỉnh hơi thở của bản thân rất tối cho bệnh nhân nhiễm kiềm hô hấp

For other causes, treat the cause, depending on the cause, the doctor will give different indications. If the patient has respiratory alkalosis due to mechanical ventilation, reduce the minute ventilation and use sedatives and muscle relaxants. However, for patients with respiratory alkalosis for the first time, it is advisable to go to the hospital for examination because the above treatment methods are often used when the doctor has determined the cause of formation.
Recovery from respiratory alkalosis can be very rapid as soon as CO2 levels return to normal if the cause is anxiety. As for other causes, the degree of recovery depends on the severity of the cause of respiratory alkalosis.
In fact, respiratory alkalosis is mainly caused by anxiety, fear or stress, to prevent this from happening, the patient should practice controlling these psychological problems. Besides, patients can practice breathing to regulate their own breathing, regular exercise and sports to have a healthy body and meditation can be a useful method for the patient's mood. .

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