INTERPRETING AN ABG
ARTERIAL BLOOD GAS
PARAMETERS
Ph 7.35-7.45
PaCO2 35-45mmhg
PaO2 80-100mmhg
HCO3 22-26mEq/L
Oxygen >94%
saturation
DECREASE INCREASE
VALUE VALUE VALUE
PH ACIDOSIS ALKALOSIS
CO2 ALKALOSIS ACIDOSIS
HCO3 ACIDOSIS ALKALOSIS
Uncompensated State if:
1.Blood Ph is not normal and the Opposite system of the blood Ph is within normal.
Ph- 7.48 - alkalosis
PaCO2= 43mmhg -normal
HCO3= 36 mEq/l -alkalosis
2. ph is not normal and both the respiratory and metabolic system goes with the state of the
blood ph
Ph 7.23 - acidosis
PaCO2- 49mmhg - acidosis
HCO3= 20mEq/L - acidosis
Partially Compensated occurs if:
ph is not normal/other system or opposite system is outside the normal range
Ph- 7.48 - alkalosis
PaCO2= 50mmhg - acidosis
HCO3= 36 mEq/l - alkalosis
If ph is not within normal range, look at the system that goes opposite with the ph.
-If it is within normal range then it is uncompensated.
- If it is outside the normal range then it is partially compensated
Example No. 1
pH- 7.48 - Alkalosis
PaCO2= 50mmhg - Acidosis
HCO3= 36 mEq/l - Alkalosis
State of the ph
State of the system that MATCHES with the state of the ph. Alkalosis
Is the ph normal? If the ph is within normal range then it is fully compensated. Metabolic
If ph is not within normal range, look at the system that goes opposite with the ph. If it is within
normal range then it is uncompensated. If it is outside the normal range then it is partially
compensated. Partially Compensated
Example No. 2
Ph- 7.30 - Acidosis
PaCO2- 50mmhg - Acidosis
HCO3- 24 mEq/L - Normal
State of the ph
State of the system that MATCHES with the state of the ph. Acidosis
Is the ph normal? If the ph is within normal range then it is fully compensated. Respiratory
If ph is not within normal range, look at the system that goes opposite with the ph. If it is within
normal range then it is uncompensated. If it is outside the normal range then it is partially
compensated. Uncompensated
Example No. 3
Ph 7.23 -Acidosis
PaCO2- 49mmhg -Acidosis
HCO3= 20mEq/L -Acidosis
State of the ph
State of the system that MATCHES with the state of the ph. Acidosis
Is the ph normal? If the ph is within normal range then it is fully compensated.
Metabolic/respiratory
If ph is not within normal range, look at the system that goes opposite with the ph. If it is within
normal range then it is uncompensated. If it is outside the normal range then it is partially
compensated. Uncompensated *both the systems combined to alter the pH