Respiratory alkalosis

RESPIRATORY ALKALOSIS

  • When alveolar hyperventilation occur the expiration of CO2 may exceed the rate of its production within the body and respiratory alkalosis develops. There will be low plasma PCO2 (Hypocapnia) and alkalemia.
  • Hyperventilation is caused by abnormal stimulus to respiratory centres either directly as in NH3 toxicity or through hypoxemia acting through peripheral chemoreceptors. Buffer reaction follows :

HHb + HCO3 ---->Hb- + H2CO3 ---->CO2 + H2O

  • The HCO3 falls. Renal compensation begins ; alkalemia depresses H+ ion secretion by renal tubules and excretion of filtered HCO3 rises. This result in further fall of plasma HCO3 and the ratio of HCO3 to H2CO3 moves back to normal.
Last modified: Saturday, 4 June 2011, 7:47 AM