Arterial Blood Gas Interpretation Q 5

By | June 30, 2022

Match the acid-base status of the following blood samples to the disorders in the given choices. (PaCO2 values are in mm Hg and bicarbonate values in mmol/l).
  
    pH 7.57, PaCO2 22, HCO3- 17
     A. Respiratory Acidosis, Partially Compensated
     B. Respiratory Alkalosis, Uncompensated
     C. Metabolic Acidosis, Partially Compensated
     D. Respiratory Alkalosis, Partially Compensated
    

Correct Answer: D. Respiratory Alkalosis, Partially Compensated

Based on the given ABG values, pH is 7.57. For pH, the normal range is 7.35 to 7.45. Any blood pH above 7.45 (7.46, 7.47, 7.48, and so on…) is ALKALOSIS.

PaCO2 is 22. The normal range for PaCO2 is from 35 to 45. If PaCO2 is below 35, it is alkalosis. Based on the given ABG values, PaCO2 is below 35, so it is considered ALKALOSIS.
HCO3- is 17. The normal range for HCO3 is from 22 to 26. If HCO3 is below 22, it is acidosis. Based on the given ABG values, HCO3 is below 22, so it is considered ACIDOSIS.
For these ABG values, pH is ALKALOSIS and lines up with PaCO2 which is RESPIRATORY. Therefore, this group of ABG values is considered RESPIRATORY ALKALOSIS.
Lastly, it is PARTIALLY COMPENSATED because all three (3) values are abnormal. It is considered partially compensated if all three (3) values are abnormal.

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