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1. ABG: Paco2 49 HCO3- 29 PH 7.25 2. ABG: PacO2 21 HC03-21 PH 7.39 3. ABG: PaCO2 32 Hco3- 17 7.43 PH 4. ABG: PaCO2 25 HCO3- 1

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Answer #1

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

  • Acidosis = Decrease pH+Increased CO2+Normal bicarbonate (Acute)
    • Partly compensated= Decreased pH+Increased Co2+Increased HCo3
    • Compensated=Normal pH+Increased Co2+Increased Hco3
  • Alkalosis=Increased pH+Decreased CO2+Normal bicarbonate (Acute)
    • Partly compensated= Increased pH+Decreased paCo2+Decreased HCO3
    • Compensated =Normal pH+decreased paCo2+decreased HCO3

Metabolic

  • Acidosis =Decreased bicarbonate +Increased pH(Acute)
    • Partly compensated =Decreased pH+Decreased paCo2+Decreased HCO3
    • Compensated =Normal pH+decreased paCo2+Decreased HCO3
  • Alkalosis =Increased bicarbonate +Increased pH

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

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