Respiratory alkalosis is a common disorder in critically ill patients. It occurs when carbon dioxide is lost via excessive pulmonary ventilation (↑ pH, ↓ p CO 2 ). Compensatory mechanisms are:

  • ↓ HCO 3 by bicarbonate buffer system

  • ↑ H + by kidneys (slow process – may take several days).

Causes (any cause of hyperventilation)

Central nervous system

  • Pyrexia

  • Pain

  • Anxiety

  • Hysteria

  • Head injury

  • Stroke

  • Encephalitis

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