Acid base imbalances: Determining acid base imbalances from lab values

Question 1

ABG

Answer 1

Arterial blood gas

Question 2

First step..

Answer 2

Acidosis or alkalosis

Question 3

Second step…

Answer 3

Respiratory of metabolic

Question 4

To determine if it is respiratory, look at the relationship between pH and _______

Answer 4

pCO2

Question 5

For respiratory issues, pCO2 and pH are _______ related

Answer 5

Inversely

High pCO2, low pH

Question 6

To determine id it is metabolic, look at the relationship between pH and ______

Answer 6

HCO3

Question 7

For metabolic issues, HCO3 and pH are _______ related

Answer 7

Directly

Low HCO3, low pH

Question 8

Normal pH with previously identified abnormalities in BOTH PCO2 and HCO3 is

Answer 8

Completely compensated

Question 9

Abnormal pH with abnormalities in BOTH pCO2 and HCO3 is

Answer 9

Partially compensated

Question 10

Abnormal pH with previously identified abnormalities in ONLY pCO2 or HCO3

Answer 10

Uncompensated

Question 11

pH 7.43
pCO2 65
Bicarbonate 43

Answer 11

Metabolic alkalosis, completely compensated

Question 12

pH 7.05
pCO2 66
Bicarbonate 18

Answer 12

Respiratory acidosis, uncompensated

Question 13

pH 7.24
pCO2 92
Bicarbonate 49

Answer 13

Respiratory acidosis, partially compensated

Question 14

pH 7.62
pCO2 28.5
Bicarbonate 30

Answer 14

Respiratory acidosis, uncompensated