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    PH, Paco2 Hco3-: Usefulness

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    brfactor
    This document presents a simple 4-step method for analyzing arterial blood gases (ABGs) to determine acid-base balance. It considers just 3 values: pH, PaCO2, and HCO3-. Step 1 uses pH to identify acidosis or alkalosis. Step 2 uses PaCO2 to determine the respiratory effect. Step 3 assumes the metabolic cause when respiratory is ruled out. Step 4 uses HCO3- to verify the metabolic effect. This method is useful for the majority of ABG cases but does not account for complete compensation or instances of combined respiratory and metabolic imbalance, which are rarer.

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    Download as DOCX, PDF, TXT or read online from Scribd

    PH, Paco2 Hco3-: Usefulness

    Uploaded by

    brfactor
    29 views1 page
    This document presents a simple 4-step method for analyzing arterial blood gases (ABGs) to determine acid-base balance. It considers just 3 values: pH, PaCO2, and HCO3-. Step 1 uses pH to identify acidosis or alkalosis. Step 2 uses PaCO2 to determine the respiratory effect. Step 3 assumes the metabolic cause when respiratory is ruled out. Step 4 uses HCO3- to verify the metabolic effect. This method is useful for the majority of ABG cases but does not account for complete compensation or instances of combined respiratory and metabolic imbalance, which are rarer.

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    abg

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    This document presents a simple 4-step method for analyzing arterial blood gases (ABGs) to determine acid-base balance. It considers just 3 values: pH, PaCO2, and HCO3-. Step 1 uses pH to identify acidosis or alkalosis. Step 2 uses PaCO2 to determine the respiratory effect. Step 3 assumes the metabolic cause when respiratory is ruled out. Step 4 uses HCO3- to verify the metabolic effect. This method is useful for the majority of ABG cases but does not account for complete compensation or instances of combined respiratory and metabolic imbalance, which are rarer.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    29 views1 page

    PH, Paco2 Hco3-: Usefulness

    Uploaded by

    brfactor
    This document presents a simple 4-step method for analyzing arterial blood gases (ABGs) to determine acid-base balance. It considers just 3 values: pH, PaCO2, and HCO3-. Step 1 uses pH to identify acidosis or alkalosis. Step 2 uses PaCO2 to determine the respiratory effect. Step 3 assumes the metabolic cause when respiratory is ruled out. Step 4 uses HCO3- to verify the metabolic effect. This method is useful for the majority of ABG cases but does not account for complete compensation or instances of combined respiratory and metabolic imbalance, which are rarer.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 1

    Usefulness

    This method is simple, easy and can be used for the majority of ABGs. It only addresses acid-base balance and considers just 3
    values.

     pH,
     PaCO2
     HCO3-

    Step 1. Use pH to determine Acidosis or Alkalosis.


       ph
     < 7.35  7.35-7.45  > 7.45
     Normal or
     Acidosis  Alkalosis
    Compensated

    Step 2. Use PaCO2 to determine respiratory effect.


       PaCO2
     < 35  35 -45 > 45

      Tends toward  Normal   Tends toward


    alkalosis acidosis
     Causes high pH  Causes low pH
     Neutralizes low or  Neutralizes high
    pH pH
    Compensated

    Step 3. Assume metabolic cause when respiratory is ruled out.

     You'll be right most of the time if you remember this simple table:

     High pH Low pH
     Alkalosis Acidosis
     High PaCO2 Low PaCO2 High PaCO2 Low PaCO2
     Metabolic Respiratory Respiratory Metabolic

     If PaCO2 is abnormal and pH is normal, it indicates compensation.


    o pH > 7.4 would be a compensated alkalosis.
    o pH < 7.4 would be a compensated acidosis.

    Step 4. Use HC03 to verify metabolic effectNormal

    HCO3- is 22-26

    Please note:Remember, the first three steps apply to the majority of cases, but do not take into account:

    o the possibility of complete compensation, but those cases are usually less serious, and
    o instances of combined respiratory and metabolic imbalance, but those cases are pretty rare.
     "Combined" disturbance means HCO3- alters the pH in the same direction as the PaCO2.
     High PaCO2 and low HCO3- (acidosis) or
     Low PaCO2 and high HCO3- (alkalosis).

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