ABG analysis Flashcards
pH values
normal = 7.35 - 7.45 alkalemia > 7.45 - caused by alkalosis acidemia < 7.35 - caused by acidosis
PaO2
normal > 80 mmHg
hypoxia < 80 mmHg
PaCO2
normal = 35 - 45 mmHg
hypercapnia >50 mmHg
HCO3 level
bicarbonate normal = 22 - 28 mEq/liter
Buffer systems
1) blood buffers: hemoglobin
2) respiratory system
3) renal system
hyperventilation
decreases PaCO2, increases pH
hypoventilation
increases PaCO2, decreases pH
alkalemia
if HCO3 > 28 then increase pH
acidemia
if HCO3 < 22 then decrease pH
steps in ABG analysis
1) pH value
2) nature of primary disorder
3) adequacy of ventilation
4) extent of compensation
5) oxygenation status
respiratory alkalosis
increased pH, decreased PaCO2
respiratory acidosis
decreased pH, increased PaCO2
metabolic acidosis
low pH and low HCO3
metabolic alkalosis
high pH and high HCO3
extent of compensation
compensated partially compensated uncompensated acute = if pH farther from normal chronic = if pH closer to normal