Causes of Type II Respiratory Failure

In this article, we will discuss various Causes of Type II Respiratory Failure. So, let’s get started.

Causes

Respiratory causes

Severe acute asthma

Pulmonary embolism

Inhaled foreign body

Laryngeal edema

Multiple fractured ribs, flail chest

Chronic bronchitis (COPD)

Terminally ill patients

Progressive respiratory disease

Kyphoscoliosis (severe chest deformity)

Obesity hypoventilation syndrome (Pickwickian syndrome)

Sleep-apnea syndrome

Respiratory muscles paralysis

Sputum retention syndrome

Extrarespiratory causes

Drug (narcotics) overdose

Brainstem infarction

GB syndrome

Metabolic alkalosis

Infections

Myasthenia gravis

Eaton-Lambert syndrome

Myxoedema

Heart failure

Source: Emergency Medicine by SN Chugh and Ashima Chugh

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Clinical features of Type II Respiratory Failure

In this article, we will discuss about Clinical features of Type II Respiratory Failure. So, let’s get started.

Type II Respiratory Failure is defined as the failure of the lungs to maintain an adequate alveolar ventilation resulting in rise in partial pressure of CO2 (PaCO2) above 50 mmHg. There is always hypoxemia associated with hypercapnia.

Clinical Features

Dyspnea

Mental Confusion

Anxiety

Tachypnea

Tachycardia

Restlessness

Cyanosis

Hypertension

Cardiac arrhythmia

Disorientation, delirium

Somnolence

CO2 narcosis

Flapping tremors

Headache

Papilloedema

Bounding pulses

Source: Emergency Medicine by SN Chugh and Ashima Chugh