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A case report of a COPD patient presented in severe metabolic alkalosis Authors

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creativeworkseries.issnISSN 2822-1893 eISSN 2822-2016
dc.contributor.authorShrestha, Ashish
dc.contributor.authorGurung, Naresh
dc.contributor.authorKarthak, Ashish
dc.contributor.authorBhattarai, Sanjeet
dc.contributor.authorLama, Rakesh
dc.contributor.authorShrestha, Utsav Kumar
dc.contributor.authorKhanal, Kishor
dc.contributor.authorGhimire, Anup
dc.contributor.authorRegmi, Ashim
dc.contributor.authorShrestha, Sanjeet Krishna
dc.date.accessioned2026-02-03T06:14:02Z
dc.date.available2026-02-03T06:14:02Z
dc.date.issued2022
dc.descriptionAshish Shrestha Department of pulmonary, critical care and sleep medicine, Nepal Mediciti Hospital Naresh Gurung Department of pulmonary, critical care and sleep medicine, Nepal Mediciti Hospital Ashish Karthak Department of pulmonary, critical care and sleep medicine, Nepal Mediciti Hospital Sanjeet Bhattarai Department of pulmonary, critical care and sleep medicine, Nepal Mediciti Hospital Rakesh Lama Department of pulmonary, critical care and sleep medicine, Nepal Mediciti Hospital Utsav Kumar Shrestha Department of pulmonary, critical care and sleep medicine, Nepal Mediciti Hospital Kishor Khanal Department of critical care, Nepal Mediciti Hospital Anup Ghimire Department of critical care, Nepal Mediciti Hospital Ashim Regmi Department of critical care, Nepal Mediciti Hospital Sanjeet Krishna Shrestha Department of pulmonary, critical care and sleep medicine, Nepal Mediciti Hospital
dc.description.abstractAbstract: Chronic Obstructive Pulmonary Disease (COPD) patients generally present with respiratory acidosis and type 2 respiratory failure. Here we present a case of 65 years old female, who is a known case of COPD and presented in our emergency department with severe metabolic alkalosis (pH 7.730, HCO3- greater than 99.9mmol/l). She was referred from other center after the development of seizure. Urinary sodium was sent which indicated the cause of metabolic alkalosis was contraction alkalosis; we then treated the patient with IV fluids, antibiotics and Mechanical Ventilator. Arterial Blood gas analysis was initially done every 4 hours till the pH was corrected. After pH was corrected the patient was extubated to intermitted Non Invasive Ventilation (NIV) for type 2 respiratory failure. With pulmonary rehabilitation we could discharge the patient with inhalers; without the need for NIV or supplementary oxygen. This is one of the rare cases where the patient presented with a very high bicarbonate level, high partial pressure of carbon dioxide in arterial blood, and high pH. The patient was successfully managed with IV fluids and mechanical ventilation.
dc.identifierhttps://doi.org/10.3126/nrj.v1i2.54936
dc.identifier.urihttps://hdl.handle.net/20.500.14572/4474
dc.language.isoen_US
dc.publisherNepalese Respiratory Society
dc.subjectChronic Obstructive Pulmonary Disease
dc.subjectRespiratory Failure
dc.subjectNon Invasive ventilation
dc.subjectMetabolic Alkalosis
dc.titleA case report of a COPD patient presented in severe metabolic alkalosis Authors
dc.typeArticle
dspace.entity.typePublication
local.article.typeCase Report
oaire.citation.endPage37
oaire.citation.startPage34
relation.isJournalIssueOfPublication706d40d9-1a6a-4991-aaa1-3bb34da9ed66
relation.isJournalIssueOfPublication.latestForDiscovery706d40d9-1a6a-4991-aaa1-3bb34da9ed66
relation.isJournalOfPublication91ea7cc8-46b2-4796-94bd-2998c28b5ebb

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