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Physiology General 04558c18

All of the following are risks seen in administration of pure oxygen to the hypoxic patients, except:

A
Apnea occurs due to hypostimulation of peripheral receptors
B
Pulmonary edema
C
2,3 DPG toxicity
D
Convulsions
High-Yield Explanation
In some patients with severe lung disease, the hypoxic drive to ventilation becomes very important. These patients have chronic CO2 retention, and the pH of their brain extracellular fluid has returned to near normal in spite of a raised pCO2  (renal compensation). Thus, they have lost most of their increase in the stimulus to ventilation from CO2. Under these conditions, the arterial hypoxemia becomes the chief stimulus to ventilation. If such a patient is given a high O2 mixture to breathe to relieve the hypoxemia, ventilation may become grossly depressed. Pulmonary edema and convulsion are side effects of pure oxygen therapy.

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