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hypercapnia

Too much carbon dioxide in the blood, a PaCO2 above 45 mm Hg.

hy-per-KAP-nee-uh noun

Word parts

hyper- abovecapn/o carbon dioxide-ia condition

What it means

Carbon dioxide builds up when the lungs do not move enough air out, as in COPD, severe asthma, sedation with opioids, or weakness of the breathing muscles. It makes the blood acidic (respiratory acidosis). Signs include headache, flushed skin, sleepiness and confusion, and severe levels can lead to coma.

For the nurse

Watch for increasing sleepiness or confusion in clients at risk and report it. Some clients with long-term COPD who retain carbon dioxide need oxygen given carefully to a set saturation target.

At a glance

Spanishhipercapnia
Also writtenhypercarbia, hypercapnic

Related terms

COPD

Chronic obstructive pulmonary disease: a long-term lung disease that makes it hard to move air out of the lungs.

arterial blood gas

A blood test from an artery that measures oxygen, carbon dioxide, bicarbonate and the blood's pH.

ventilation

Air moving in and out of the lungs as a person breathes.

bicarbonate

A base in the blood that balances acid; the kidneys control it, and its level is measured on blood gas and chemistry tests.

BiPAP

Bilevel positive airway pressure: breathing support through a mask that gives one pressure on breathing in and a lower one on breathing out.

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