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General Reference

(Nejm 1998;338:107)

Pathophys and Cause

Cause:Hyperventilation, voluntary or iatrogenic

see Figure 17.1 for description of Metabolic and Respiratory Components of Acid-Base Balance

Signs and Symptoms

Sx:Tetany

Complications

Rare since most never incr pH >7.55

Treatment

Rx: Increase dead space, eg, with bag breathing; or slow rate and/or depth