What condition results from impaired gas exchange leading to progressive metabolic acidosis?

Prepare for the Fetal Health Surveillance Exam with a variety of study tools including flashcards and multiple-choice questions. Each question is accompanied by helpful hints and explanations to boost your understanding and success.

The condition characterized by impaired gas exchange leading to progressive metabolic acidosis is asphyxia, also known as hypoxic acidemia. This occurs when the body is deprived of adequate oxygen, which is essential for cellular metabolism. When oxygen levels drop, the body is unable to efficiently convert glucose to energy, resulting in increased anaerobic metabolism. This process generates lactic acid, causing a decrease in blood pH, thereby leading to metabolic acidosis.

In asphyxia, not only is there inadequate oxygenation, but there may also be a buildup of carbon dioxide, exacerbating the acidotic state. The symptoms can progress and may result in significant harm to fetal tissues and organs if not addressed promptly.

Other listed conditions do not lead to metabolic acidosis in the same manner. Hypercapnia, for example, specifically refers to an increased level of carbon dioxide in the blood but does not directly encompass the same progressive effects as asphyxia, particularly in relation to oxygen deprivation. Respiratory alkalosis, contradictory to metabolic acidosis, involves a rise in pH due to decreased carbon dioxide levels. Acute inflammation might lead to varied metabolic responses but is not specifically connected to the direct mechanism of impaired gas exchange leading to metabolic acidosis like asphyxia is

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