Pulmonary: Arterial Blood Gas Flashcards
ABG’s
normal PH
7.35 - 7.45
Acidosis (pH<7.4)
Alkalosis (pH>7.4)
ABG’s
Normal partial pressure of carbon dioxide (PaCO2) value
35-45 mmHg
ABG’s
Normal partial pressure of oxygen PaO2
80-100 mmHg
ABG’s
Normal bicarbonate concentration HCO3
22-28 mEq/L
ABG’s
Classify the pathophysiological state based on the relationship between pH and PaCO2. If inverse relationship:
respiratory
Direct relationship = METABOLIC
ABG’s
IF pH = acid (low) and CO2 is high →
respiratory acidosis
ABG’s
IF pH = acid (low) and CO2 is low →
metabolic acidosis
ABG’s
IF pH = base (high) and CO2 is low →
respiratory alkalosis
ABG’s
pH: 7.27
PaCO2: 36 mmHg
HCO3: 16 mEq/L
The pH and HCO3- levels are both acidotic, so the primary mechanism is a metabolic acidosis. The CO2 is normal, so there is no indication that the respiratory system is compensating.
ABG’s
pH: 7.29
PaCO2: 43 mmHg
HCO3: 20 mEq/L
The pH and HCO3 levels are both acidotic, so the primary mechanism is a metabolic acidosis. The CO2 is normal, so there is no indication that the respiratory system is compensating.