Mom in hospital. Taking antibiotics for aspiration pneumonia. Been there a week. Latest blood gases indicate respiratory alkalosis:
venous bicarbonates at 26 (within range)
venous pCO2 at 33.8mm
Mom sleeps all the time. When she sleeps, she sleeps well at around normal breathing rate of 18-24 breaths/minute. The moment she awakes, breathing rate increase to 45.
She hasn't been eating much. Taking dextrose D5 water with hypotonic salt. Potassium IV. Starting to eat more by taking osterized food. But yesterday was the highest intake of 375 calories only.
After much discussion, with doctor trying to avoid confirming to me that my mom has respiratory alkalosis, tells me they're not going to treat her for it because they believe it is secondary to her infection. This seemed like a mainstream medical dogma when she showed me a link explaining their thinking. I asked her what is wrong with addressing the respiratory alkalosis condition? She couldn't give me an answer. I asked her again "What is the risk of addressing the alkalosis diretly?" No answer.
Again I told her that the condition affects the electrolyte balance, and this affects also the repolarization of the heart, explaining the slight arrhythmic condition. Addressing directly this issue would help a lot, I told her.
Again, she is unmoved in her stance. I threatened that I will escalate this matter. She offers to give way to another doctor to take her place. I said not so fast. Finish what you began. I wasn't falling for that ploy, knowing the devil I don't know may be worse than the one I know. Besides, they're all the same - conventional medical doctors - cut from the same cloth. I have no alternative really.
I told her I'll just continue to bag breath my mom. More. That's where we left it at.
My take: They have nothing on hand for respiratory alkalosis. They may have some baking soda solution. But they view CO2 as so bad they avoid it. They put people on oxygen worsening their situation. They never heard of carbogen. They would be alarmed when someone has respiratory acidosis (too much CO2) but not so when the condition is respiratory acidosis (too little CO2).
For them, oxygen is good. Carbon dioxide is bad.
I have only bag breathing for now. I just wish I had a carbogen therapy unit with me now. But I wonder if the hospital will let me bring it in if I actually do.
Thinking of going to a welding shop and filling a balloon with CO2 for my mom to wrap around. Also thinking about ways to using dry ice to increase the carbon dioxide breathed in without overdoing it.
Any ideas?
venous bicarbonates at 26 (within range)
venous pCO2 at 33.8mm
Mom sleeps all the time. When she sleeps, she sleeps well at around normal breathing rate of 18-24 breaths/minute. The moment she awakes, breathing rate increase to 45.
She hasn't been eating much. Taking dextrose D5 water with hypotonic salt. Potassium IV. Starting to eat more by taking osterized food. But yesterday was the highest intake of 375 calories only.
After much discussion, with doctor trying to avoid confirming to me that my mom has respiratory alkalosis, tells me they're not going to treat her for it because they believe it is secondary to her infection. This seemed like a mainstream medical dogma when she showed me a link explaining their thinking. I asked her what is wrong with addressing the respiratory alkalosis condition? She couldn't give me an answer. I asked her again "What is the risk of addressing the alkalosis diretly?" No answer.
Again I told her that the condition affects the electrolyte balance, and this affects also the repolarization of the heart, explaining the slight arrhythmic condition. Addressing directly this issue would help a lot, I told her.
Again, she is unmoved in her stance. I threatened that I will escalate this matter. She offers to give way to another doctor to take her place. I said not so fast. Finish what you began. I wasn't falling for that ploy, knowing the devil I don't know may be worse than the one I know. Besides, they're all the same - conventional medical doctors - cut from the same cloth. I have no alternative really.
I told her I'll just continue to bag breath my mom. More. That's where we left it at.
My take: They have nothing on hand for respiratory alkalosis. They may have some baking soda solution. But they view CO2 as so bad they avoid it. They put people on oxygen worsening their situation. They never heard of carbogen. They would be alarmed when someone has respiratory acidosis (too much CO2) but not so when the condition is respiratory acidosis (too little CO2).
For them, oxygen is good. Carbon dioxide is bad.
I have only bag breathing for now. I just wish I had a carbogen therapy unit with me now. But I wonder if the hospital will let me bring it in if I actually do.
Thinking of going to a welding shop and filling a balloon with CO2 for my mom to wrap around. Also thinking about ways to using dry ice to increase the carbon dioxide breathed in without overdoing it.
Any ideas?