Arterial Blood Gases Flashcards
Buffers that controlled the pH
Haemoglobin
Bicarbonate
Ammonium
Phosphate
When you’ve got too much H+, lungs
blow
off CO2
When you can’t blow off CO2, kidneys try to
get rid of H+
Is the difference in concentration of oxygen
between the Alveolus (A) and the artery (a)
A-a Gradient
Normal A-a gradient
<3
Formula for A-a gradient
PAO2 – (PaO2 + PaCO2/0.8)
A process causing excess acid to be present in the blood.
acidosis
A process causing excess base to be present in the blood.
alkalosis
When the pCO2 is >45 is
respiratory acidosis
When the pCO2 is <35 is
respiratory alkalosis
When the HCO3 is <22 mols/l is
metabolic acidosis
When the HCO3 is >26 mols/l is
metabolic alkalosis
____ changes are related to respiratory changes
CO2
____ changes relate to metabolic changes
HCO3
Respiratory compensation is
rapid
Metabolic compensation is
slow
Any cause of hypoventilation
CNS depression Neuromuscular disease Acute or chronic lung disease Cardiac arrest Ventilator malfunction
Any cause of hyperventilation
Hypoxia Acute lung conditions Anxiety Fever Pregnancy Hepatic failure Some central CNS lesions
Normal value of pH
7.35-7.45
Normal value of PO2
90-95
Normal value of pCO2
35-45
Normal value of HCO3
20-25
____ is the difference between the measured positive and negatively charged ions.
Anion Gap
Normal anion gap
10-18