Tucker Anne M, Johnson Tami N
Division of Pharmacy, University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Nutr Clin Pract. 2025 Aug;40(4):774-792. doi: 10.1002/ncp.11328. Epub 2025 Jun 8.
Respiratory acidosis and alkalosis are two of the four main acid-base processes encountered in clinical practice. These two processes are tightly balanced by breathing. Identification and management of respiratory acid-base disorders are important for clinicians, particularly when caring for patients with underlying pulmonary and neurological conditions. Basic knowledge of respiratory function, alveolar gas exchange, and innate compensation concepts can provide clinicians with the tools to design safe and effective nutrition care plans. These concepts will also aid in monitoring response to medical interventions and drug therapy. An overview of these ideas and management strategies is provided in this review.
呼吸性酸中毒和碱中毒是临床实践中遇到的四种主要酸碱平衡过程中的两种。这两个过程通过呼吸紧密平衡。识别和管理呼吸性酸碱紊乱对临床医生很重要，尤其是在护理患有潜在肺部和神经疾病的患者时。呼吸功能、肺泡气体交换和固有代偿概念的基础知识可为临床医生提供设计安全有效的营养护理计划的工具。这些概念也将有助于监测对医疗干预和药物治疗的反应。本综述提供了这些观点和管理策略的概述。
