Analyt
Range Interpretation
e
The pH or H+ indicates if a patient is acidotic (pH < 7.35; H+ >45) or
pH 7.35–7.45
alkalemic (pH > 7.45; H+ < 35).
A low O2 indicates that the patient is not respiring properly, and is
9.3–13.3kPa
hypoxemic. At a PaO2 of less than 60 mm Hg, supplemental oxygen should
PaO2 or 80–
be administered. At a PaO2 of less than 26 mmHg, the patient is at risk of
100mmHg
death and must be oxygenated immediately.
The carbon dioxide partial pressure (PaCO2) indicates a respiratory problem:
for a constant metabolic rate, the PaCO2 is determined entirely by
ventilation. A high PaCO2(respiratory acidosis) indicates underventilation, a
4.7–6.0 kPa
low PaCO2 (respiratory alkalosis) hyper- or overventilation. PaCO2 levels can
PaCO2 or 35–45
also become abnormal when the respiratory system is working to
mmHg
compensate for a metabolic issue so as to normalize the blood pH. An
elevated PaCO2 level is desired in some disorders associated with respiratory
failure; this is known as permissive hypercapnia.
The HCO3− ion indicates whether a metabolic problem is present (such
as ketoacidosis). A low HCO3− indicates metabolic acidosis, a high
22–26
HCO3− HCO3− indicates metabolic alkalosis. HCO3− levels can also become
mmol/L
abnormal when the kidneys are working to compensate for a respiratory
issue so as to normalize the blood pH.