Hyperventilation syndrome is a common disorder in which fear or anxiety drives episodes of excessive ventilation, resulting in respiratory alkalosis. Identifying this trigger matters because the management approach is distinct from other causes of alkalosis.
This protocol addresses respiratory alkalosis occurring in the context of hyperventilation syndrome — specifically, patients who develop fear- or anxiety-related episodes of excessive ventilation as the primary driver of their acid-base disturbance.
Management involves psychological and behavioral interventions targeting the anxiety trigger and the ventilatory pattern itself — the complete regimen, including specific techniques and the recommended sequence, is in the structured protocol.
Full evidence-based regimen available below.
DOI: 10.1053/j.ajkd.2023.02.004
The hyperventilation syndrome is a common disorder characterized by fear- or anxiety-related episodes of excessive ventilation.
Reassurance, cognitive behavior therapy, and stress-reduction techniques are useful in these patients.
Breathing into a paper bag creates a closed system, causing an increase in PCO2 with each breath taken.
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