exhaled CO2 concentration and is an accurate indicator of arterial circulation and CO2 concentration
Why don't we breathe all of the CO2 out?
the animal needs CO2 to maintain an acid base balance
if the animal breathed all the CO2 out then it would become alkalotic
What are the four main things that affect ETCO2?
metabolism
pulmonary perfusion
alveolar ventilation
technical error
What metabolism causes could cause a decreaesd ETCO2?
hypotension
hypothyroidism
muscle relaxants
What metabolism causes could cause an increased ETCO2?
fever
malignant hyperthermia
sodium bicarbonate
tourniquet release
seizures
What about pulmonary perfusion could cause a decreased ETCO2?
decreased cardiac output
hypotension
hypovolemia
pulmonary embolism
cardiac arrest
What about pulmonary perfusion could cause an increased ETCO2?
increased cardiac output
increased blood pressure
What about alveolar ventilation could cause a decreased ETCO2?
hyperventilation
apnea
partial airway obstruction
asthma
pulmonary edema
What about alveolar ventilation could cause an increased ETCO2?
hypoventilation
rebreathing
What technical errors could cause a decreased ETCO2?
disconnection
sampling leaks
sampling fresh gas flow
obstructed endotracheal tube
What technical errors could cause an increased ETCO2?
exhausted CO2 absorber
inadequate fresh gas flow
leaks in the breathing circuit
faulty valves
What is hyperventilation?
depleats CO2 and causes body to stop breathing so CO2 will build back up to stimulate breathing again
What are the most common causes of an increase ETCO2?
alveolar ventilation (hypoventilation and rebreathing) and technical error (exhausted CO2 absorber, inadequate fresh gas flow, leaks in the breathing circuit, faulty valves)
When in ETCO2 is increased what do we look at first? Then what do we do?
first look at INCO2
if INCO2 is normal then the cause is hypoventilation
if INCO2 is increased then the cause is a technical error
If the ETCO2 is decreased what do we determine next?
if it is low then there could be a low cardiac output, hypotension, hypovolemia, embolism (rules these out first)
then look for hyperventilation or technical error (these are the most common)
if it is ZERO then look for apnea, obstruction in the endotracheal tube, or a disconnection in the machine