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Attending rounds: How to use acetazolamide to correct hypercapnia in OSA and COPD?

A 68 yo CF with morbid obesity, OSA and hypercapnia is admitted to the hospital. ABG is shown below: ABG What is the abnormality on ABG? ABG shows chronic (compensated) primary respiratory acidosis, with metabolic alkalosis. Click here for MedCalc: Acid-Base Calculator. The patient refuses to wear h...

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Cotopaxi

Today we return from Baos to Quito. The end of our week long tour. On the way we stop to visit the Cotopaxi volcano not the erupting one don't worry mums. This is going to be an altitude test nick has been taking diamox to see if it weel help with the altitude for the inca trail. This mountain is ac...

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