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  • Annalyn B. Forio, RN, Man

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    jay kusain
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    The patient is experiencing respiratory acidosis based on the following ABG results: - pH of 7.16 which is below the normal range, indicating acidosis - HCO3 of 24 which is within the normal range, indicating compensation - PCO2 of 10.66 KPa which is above the normal range, indicating a respiratory cause Therefore, the low pH and elevated PCO2 with a normal HCO3 indicates respiratory acidosis.

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    ABG-ppt

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    The patient is experiencing respiratory acidosis based on the following ABG results: - pH of 7.16 which is below the normal range, indicating acidosis - HCO3 of 24 which is within the normal range, indicating compensation - PCO2 of 10.66 KPa which is above the normal range, indicating a respiratory cause Therefore, the low pH and elevated PCO2 with a normal HCO3 indicates respiratory acidosis.

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    24 views23 pages

    Annalyn B. Forio, RN, Man

    Uploaded by

    jay kusain
    The patient is experiencing respiratory acidosis based on the following ABG results: - pH of 7.16 which is below the normal range, indicating acidosis - HCO3 of 24 which is within the normal range, indicating compensation - PCO2 of 10.66 KPa which is above the normal range, indicating a respiratory cause Therefore, the low pH and elevated PCO2 with a normal HCO3 indicates respiratory acidosis.

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    of 23

    ANNALYN B. FORIO,RN, MAN ANNALYN B.

    FORIO,RN, MAN
    Learning Objectives
    • WHAT EXACTLY IS ABG?
    • LEARNING ALL OF ABG'S
    FINDINGS AND
    INTERPRETATIONS.
    • HOW IS ABG ANALYSIS USED
    IN CLINICAL APPLICATIONS?
    Arterial Blood Gas
    • An arterial blood gas test measures the
    amounts of arterial gases, such as oxygen and
    carbon dioxide. An ABG test requires that a
    small volume of blood be drawn from the
    radial artery with a syringe and a thin needle,
    but sometimes the femoral artery in the groin
    or another site is used. The blood can also be
    drawn from an arterial catheter.
    Rule of the B’s..
    • If the pH & the bicarb are both in
    the same direction = metabolic

    • If they are in different directions =


    respiratory
    RESPIRATORY OR METABOLIC !

    • PH ↑ HCO3 ↑ or PH ↓ HCO3 ↓ it
    is Metabolic

    • PH ↑ HCO3 ↓ or
    PH ↓ HCO3 ↑ it is Respiratory
    ACIDOSIS OR ALKALOSIS !

    • pH = 7.35-7.45 acidosis/alkalosis
    HCO3 (bicarb) = 22-26 (2+2+2 = 6) CO2 = 45-35

    • ACIDOSIS OR ALKALOSIS !

    • PH < 7.45 Alkalosis


    • PH > 7.35 Acidosis
    Compensated or Uncompesated
    • Un compensated if PCO2 or HCO3
    are Normal Partially compensated
    • if Nothing is Normal Compensated if
    PH is Normal
    Arterial Line
    SAMPLE
    • ex: PH: 7.30 ↓
    bicarb: 20 = ↓ = metabolic acidosis

    • ex: pH: 7.58 =↑


    bicarb: 32 = ↑ = metabolic alkalosis
    • ex: pH: 7.22 =↓
    bicarb: 30 =↑ = respiratory acidosis
    An ICU nurse reviews the chart of a 47-year-old
    man patient mechanical ventilator for a long
    time. Arterial blood gas result see lab results).

    Test Result Normal Values

    ABG HCO3 24 22-28 mmd/L


    ABG PCO3 10.66 4.7-6.0 KPa
    PH 7.16 7.36-7.45
    ABG PO2 6.13 10.6-14.2 KPa
    SA O2 81 95-100 %
    Answer
    • What condition the patient is experiencing
    presently?
    – Metabolic acidosis
    – Metabolic alkalosis
    – Respiratory acidosis
    – Respiratory alkalosis
    Sample
    • Vomiting Metabolic Alkalosis
    • Nasogastric tube suction Metabolic Alkalosis
    • Diarrhoea Metabolic Acidosis
    • Ileostomy Metabolic Acidosis
    • Dehydration Metabolic Acidosis
    • CPR Respiratory Acidosis
    • Drowning Respiratory Acidosis
    • Cushing syndrome Metabolic Alkalosis
    Reference
    • https://youtu.be/51adnbdpBqo
    • https://www.ncbi.nlm.nih.gov/pmc/
    articles/PMC2936733/

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