Blood gas & pH Flashcards
Sensitive to
blood:anticoagulant ratio (Heparinized syringe)
blood buffers
- Bicarbonate: Carbonic acid (20:1)
- Plasma proteins
- Hgb
- Inorganic Phosphate
Specimen
- Lithium heparin (maintains pH of blood)
- 1mL, no pulling of plunger, avoid recapping - blood should be processed and transported ANAEROBICALLY
- processed within 30 minutes
effects of Aerobic exposure
PO2 = Increased
PCO2= decreased
pH=increased
Standing
PO2 = decreased
PCO2=Increased
pH=decreased
ref. value of pH
- 35-7.45
7. 40 -average
HCO3:H2C02 normal
20:1
pCO2 range
35-45mmHg
<35mmHg
Respiratory alkalosis
> 45mmHg
Respiratory acidosis
HCO3 range
21-28mEq/L
<21 mEq/L
Metabolic acidosis
> 28mEq/L
Metabolic alkalosis
pO2
81-100mmHg
Henderson-Hasselbach equation
pH = pKa + log con. base / weak acid
pH = 6.1 + log HCO3 / H2CO3
Loss of HC03
Renal failure, DKA, Diarrhea
(+) Hyperkalemia & Hyperchloremia
Metabolic acidosis
excess HCO3
Severe vomitting
(+) Hypokalemia & Hypochloremia
Metabolic alkalosis
excess CO2
COPP, drug overdose, myestania gravis
Respiratory acidosis
Hyperventilation
asthma, anxiety, sever pain
Respiratory alkalosis
compensation is most effective in
Respiratory alkalosis
compensation for met. alk
Hypoventilation
compensation for met. acidosis
Hyperventilation
for every degree above 37’C what effects does it do?
pH decreased by 0.015
pCO2 increased by 3%
pO2 decreased 7%
elevated protein can affect
pO2 decreased
anticoagulant volume per mL of blood
0.05mL
Air exposure
increased pO2 = 4 mmHg/2mins
decreased pCO2 = 4 mmHg/ 2mins
continuous monitoring for pO2 of neonates and infants
using transcutaneous electrodes