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ABG Interpretation

The document discusses arterial blood gases and acid-base imbalances. It provides normal values for pH, PaCO2, PaO2, and HCO3 in arterial and mixed venous blood. It also lists the initial events and compensations for respiratory acidosis, respiratory alkalosis, metabolic acidosis, and metabolic alkalosis. Sample exercises are given to assess arterial blood gas results and determine if they indicate metabolic acidosis, respiratory alkalosis, etc. Additional practice exercises are provided to interpret arterial blood gas values and identify if an acidosis or alkalosis is uncompensated, compensated, or partially compensated.

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Maria Angelika Bughao
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334 views8 pages

ABG Interpretation

The document discusses arterial blood gases and acid-base imbalances. It provides normal values for pH, PaCO2, PaO2, and HCO3 in arterial and mixed venous blood. It also lists the initial events and compensations for respiratory acidosis, respiratory alkalosis, metabolic acidosis, and metabolic alkalosis. Sample exercises are given to assess arterial blood gas results and determine if they indicate metabolic acidosis, respiratory alkalosis, etc. Additional practice exercises are provided to interpret arterial blood gas values and identify if an acidosis or alkalosis is uncompensated, compensated, or partially compensated.

Uploaded by

Maria Angelika Bughao
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
  • Title Page
  • Normal Values
  • Compensation Mechanisms
  • Practice Test
  • ABG Conditions Chart
  • Set of Practice Exercises

Assessing for Arterial Blood Gases

and Acid-Base Imbalances

Reference:
Textbook of Medical-Surgical
Nursing, 11th Edition by Brunner &
Suddarth
Normal Values for Arterial Blood and
Mixed Venous Blood

Parameter Arterial Blood Mixed Venous


pH 7.35-7.45 Blood 7.33-7.41

PaCO2 35-45 mmHg 41-51 mmHg


PaO2 80-100 mmHg 35-40 mmHg
HCO3 22-26 mEQ/L 22-26 mEQ/L

Acid-Base Disturbances and


Compensation

Disorder Initial Event Compensation


Respiratory Acidosis pH, or normal Renal acid excretion
HCO3, PaCO2 and serum HCO3
Respiratory Alkalosis pH, or normal Renal acid excretion
HCO3, PaCO2 and serum HCO3
Metabolic Acidosis pH, HCO3, or Hyperventilation
normal PaCO2 with resulting PaCO
(Conserves HCO3)
Metabolic Alkalosis pH, HCO3, or Hypoventilation
normal PaCO2 with resulting
PaCO2

Sample Exercise:
1. pH = 7. 32
HCO3 = 20 mEQ/L
PaCO2 = 36 mmHg

ANSWER:

Based on table of acid base disturbances, the given


result is concluded to be METABOLIC ACIDOSIS.

In your own, answer the given

first practice test:


1. pH = 7. 46
HCO3 = 26 mEQ/L
PaCO2 = 33 mmHg
2. pH = 7.48
HCO3 = 27 mEQ/L
PaCO2 = 38 mmHg
3. pH = 7.32
HCO3 = 28 mmHg
PaCO2 = 47 mEQ/L
4. pH = 7.47
HCO3 = 25mmHg
PaCO2 = 34 mEQ/L
5. pH = 7.31
HCO3 = 20 mmHg
PaCO2 = 40 mEQ/L

ANSWERS:
1. Respiratory Alkalosis
2. Metabolic Alkalosis 3.
Respiratory Acidosis 4.
Respiratory Alkalosis 5.
Metabolic Acidosis
2
N D
Set of Practice Exercises
Interpret the ff arterial blood gas values. Identify if it is uncompensated, compensated,
partially compensated respiratory/metabolic acidosis/alkalosis. (Answers will be
provided @1pm
• pH: 7.76, CO2: 34, HCO3: 13
• pH: 7.22, CO2: 34, HCO3: 12
• pH: 7.67, CO2: 35, HCO3: 33
• pH: 7.22, CO2: 50, HCO3: 33
• pH: 7.28, CO2: 33, HCO3: 20
• pH: 7.74, CO2: 47, HCO3: 37
• pH: 7.29, CO2: 30, HCO3: 14
• pH: 7.31, CO2: 31, HCO3: 17
• pH: 7.5, CO2: 36, HCO3: 33
• pH: 7.54, CO2: 55, HCO3: 38

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