Synonyms
Hypercapnia
Definition and Characteristics
Respiratory acidosis (RA) is an acid-base disorder characterized by a primary elevation of arterial carbon dioxide tension (PaCO2). Compensation for RA involves an increase in plasma HCO3 − that occurs in two phases: (i) a rapid response from titration of non-bicarbonate buffers which has a modest effect, and (ii) a slower kidney response that leads to suppression of net acid excretion and reduced bicarbonate reabsorption. As a result of these compensations [HCO3 −] rises by about 0.4 mEq/L per each 1.0 mm/Hg increase in blood pCO2 elevation.
Prevalence
The prevalence of RA is not precisely known, but it is recognized as a common acid-base disorder. According to the National Institutes of Health, chronic obstructive pulmonary disease(COPD) kills over 120,000 people in the United States each year and is the fourth leading cause of death and of the top leading causes of death in the U.S., it is the only one that is rising. RA is...
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References
Kanaan A, Douglas RM, Alper SL, Boron WF, Haddad GG (2007) Effect of chronic elevated carbon dioxide on the expression of acid-base transporters in the neonatal and adult mouse. Am J Physiol Regul Integr Comp Physiol 293:R1294–R1302
Briva A, Vadász I, Lecuona E, Welch LC, Chen J, Dada LA, Trejo HE, Dumasius V, Azzam ZS, Myrianthefs PM, Batlle D, Gruenbaum Y, Sznajder JI (2007) High CO2 levels impair alveolar epithelial function independently of pH. PLoS ONE 2(11):e1238
Vadász I, Dada LA, Briva A, Trejo HE, Welch LC, Chen J, Tóth PT, Lecuona E, Witters LA, Schumacker PT, Chandel NS, Seeger W, Sznajder JI (2008) AMP-activated protein kinase regulates CO(2)-induced alveolar epithelial dysfunction in rats and human cells by promoting Na,K-ATPase endocytosis. J Clin Invest 118(2):752–762
Madias NE, Adrogue HJ (2007) Alkalosis and acidosis. The kidney – physiology and pathophysiology, 4th ed., vol. 2, Chapt. 60, pp. 1732–1745
Lang JD, Chumley P Jr, Eiserich JP, Estevez A, Bamberg T, Adhami A, Crow J, Freeman BA (2000) Hypercapnia induces injury to alveolar epithelial cells via a nitric oxide dependent pathway. Am J Physiol Lung Cell Mol Physiol 279(5):L994–L1002
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© 2009 Springer-Verlag GmbH Berlin Heidelberg
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Batlle, D., Syed, E., Sznajder, J.I. (2009). Acidosis, Respiratory. In: Lang, F. (eds) Encyclopedia of Molecular Mechanisms of Disease. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-29676-8_3406
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DOI: https://doi.org/10.1007/978-3-540-29676-8_3406
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-67136-7
Online ISBN: 978-3-540-29676-8
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