1.ABG (Arterial blood gas)
Normal values:pH=7.35-7.45
PaO2=75-100mmHg
PaCo2 =35-45mmHg
HCO3 =22-26mEq/L
O2 Saturation =94-100%
To interpret a ABG
Step 1
pH value helps to determine whether it is acidic or alkalic
If pH value is BELOW NORMAL=ACIDIC/ACIDOTIC/ACIDOSIS
If pH value is ABOVE NORMAL=ALKALIC/ALKALOTIC/ALKALOSIS
Step 2
Partial pressure of carbondioxide helps to differentiate whether it is respiratory or metabolic
Along with Bicarbonate the result can be interpreted
Respiratory
Metabolic
Ans 1.
Acute uncompensated Respiratory Acidosis
(DecreasedpH+Increased PaCo2+Increased HCo3)
Ans 2
Compensated Respiratory ALKALOSIS
(Normal pH+Decreased paCo2+Decreased HCO3)
Ans3
Compensated metabolic Acidosis
(Normal pH+Decreased paCo2 + decreased Hco3
Ans 4
Partly compensated respiratory alkalosis
(Increased pH+decreased paCo2+decreased HCO3
1. ABG: Paco2 49 HCO3- 29 PH 7.25 2. ABG: PacO2 21 HC03-21 PH 7.39 3....
7. ABG: Paco2 3:2 HCO3- 17 7.43 PH 8. ABG: PaCO2 48 HCO3- 25 PH 7.13 9. ABG: Paco2 32 HCO3- 18 PH 7.15 10. ABG: Paco2 37 HC03-26 PH 7.39 11. ABG: PaCO2 21 HC03-21 PH 7.39 12. ABG: PaCO2 47 HC03-27 PH 7.25
13. ABG: PaCO2 32 HCO3- 18 PH 7.15 14. ABG: PaCO2 49 HCO3- 33 PH 7.85 15. ABG: PaCO2 47 HCO3- 18 PH 7.25 2. Name Three Possible Causes of Metabolic Alkalosis 2.
ABG PRACTICE PROBLEMS Normal PH: 7.35 -7.45 PaO2: 95-100 mmHg SaO2: 95-100% PaCo2 35-45 mmHg HCO3: 22-26 mEq/L Interpret the following ABG Values to determine what type of Acid-Base Imbalance is present. Determine if the result is Acidosis or Alkalosis (Respiratory or Metabolic) and if Compensated, Partially Compensated, or Non Compensated 1. pH: 7.30, PacO2: 38, HCO3: 18 TE ODER PODER Answer: 2. pH: 7.25; PaCO2: 50; HCO3 23 SOLO Answer: 3. pH: 7.49; PaCO2: 33; HCO3 : 25 OSOBE...
. Which set of ABG values indicates metabolic alkalosis with partial compensation? a. pH 7.43, PaCO2 49, HO, 30. b. pH 7.48, PaCO2 51, HCO3 29. c. pH 7.49, PaCO2 30, HCO3 23 d. pH 7.26, PaCO2 42, HCO, 17.
Interpret each of the following ABG results: When completed insert interpretation answer into the course You do not need to add compensated, partial or non-compensated 1. pH: 7.5 PaCO2: 37 HCO3: 38 Interpretation: 2. pH: 7.32 PaCO2: 50 HCO3: 25 control Interpretation: 3. pH: 7.38 PaCo2: 36 HCO3: 27 Interpretation: 4. pH: 7.46 PaC02:32 HCO3: 24 Interpretation: 5. pH: 7.28 PaC02: 43 HCO3: 18 Interpretation:
Name Duby ACID/BASE EXERCISES 1. pH 7.35 PCO2-42 HCO3 26 What is the imbalance and what is the cause? What are the clinical manifestations? What is the nursing care? 2, pH=7.31 PCO2 51 HC03 27 What is the imbalance and what is the cause? What are the clinical manifestations? What is the nursing care? 3. pH-7.47 PCO2- 30 HCO3-24 What is the imbalance and what is the cause? What are the clinical manifestations? What is the nursing care? 4. pH...
Part 1 Complete the following problems using the Tic-Tac-Toe method of ABG interpretation (each worth 1 point) ABG Acid/Base Status List One Possible Causative Clinical Condition Ex: pH 7.29 Metabolic acidosis Renal failure pCO2 37 HCO3 19 1 pH 7.58 pCO2 45 HCO3 32 2 pH 7.22 pCO2 58 HCO3 26 3 pH 7.38 pCO2 38 HCO3 24 4 pH 7.19 pCO2 34 HCO3 18
Part 2 Directions: Answer the following questions below your scenario. Clearly identify to which question you are referring 12 points each). 1. Non-Invasive Scenarios: Use the following patient information to make recommendations for changing NIV settings. a. Initial settings: IPAP 14, EPAP 6, FIO2 0.70. Blood gas: pH 7.32, PaCo2 54 mmHg. PaO2 45mmHg, HCO3 29 mg/l b. Initial settings IPAP 15, EPAP 5, FIO2 0.30. Blood gas: pH 7.29, PaCO2 78 mmHg, PaO2 82 mmHg. HCO3 30 mg/L. C....
Please provide your interpretation of the following acid-base values and determine compensation. 1. pH 7.25 Co2 HCO3 Co2 4. pH 745 2. pH 7.40 Co2 37 HCO3 26 3. pH 7.55 HCO3 24 Co2 HCO3 30 5. pH 7.60 Co2 HCO3 38 Please provide your interpretation with determination of compensation and interventions based on the results. 6. pH 731 CO2 50 mm Hg HCO3-22 mEq/L Interpretation: Intervention based on result: 7. PH 7.31. CO2 44 mmHg. HCO3 20 mEq/L Interpretation:...
Please write the correct interpretation of the Acid Base Balance in the line provided. Be sure to include if the patient’s condition is uncompensated, partially compensated, fully compensated, or normal for the alterations. 1. pH 7.62 PCO2 44 HCO3 27 ____________________________________ 2. pH 7.49 PCO2 25 HCO3 16 ___________________________________ 3. pH 7.13 PCO2 45 HCO3 16 ___________________________________ 4. pH 7.32 PCO2 50 HCO3 31 ____________________________________ 5. pH 7.42 PCO2 41 HCO3 25 ____________________________________ 6. pH 7.63 PCO2 36 HCO3 34 ____________________________________ 7. pH 7.64 PCO2 53 HCO3 30 ____________________________________ 8. pH 7.19 PCO2 48 HCO3 25 ____________________________________ 9. pH 7.38 PCO2 34 HCO3 19 ____________________________________ 10. pH 7.66 PCO2 50 HCO3 32 ____________________________________ 11. pH 7.39 PCO2 47 HCO3 28 ____________________________________ 12. pH 7.77 PCO2 42 HCO3 31 ____________________________________