Professional Documents
Culture Documents
Nursing Consideration
Arterial blood gases should not be drawn
Values:
pH
Normal
Values
Defined
as :
HCO3
pCO2
7.35
7.45
22-26
mmol/L
3545mmH
g
hydroge
n ion
(H+)
levels
Concentra
tion of
hydrogen
carbonate
in blood.
Carbon
dioxide
partial
pressur
e
3 steps interpretation:
1. What is the pH? Is it alkolotic
Step 2...
2. Whats happening with the respiratory
Metabolic
Acidosis
Uncompensated Metabolic
Acidosis
No compensation:
Low =
normal
metabolic
Metabolic
Uncompensated Metabolic Acidosis
Acidosis
Partial compensation
pH is still abnormal, and the
other value is abnormal in an
attempt to help normalise the
pH.
Example:
pH= 7.25
low = ACIDOSIS
HCO3= 20mmol/L
low=
metabolic
PCO2= 47 mmHg
high
Lungs are retaining carbon dioxide
to compensate for excess base
Partially compensated metabolic
acidosis
Full compensation
Example:
pH= 7.45
normal
HCO3= 20mmol/L
low=
metabolic
PCO2= 47 mmHg
high
pH becomes normal in the effort of
both the kidney and the lungs
Fully/ completely compensated
metabolic acidosis
Seatwork:
1. pH 7.38, HCO3- 15mmol/L, PaCO2
30mmHg
2. pH 7.62, PaCO2 27 , HCO3
17mmol/L
3. pH 7.23, HCO3 - 15mmol/L, PaCO2
40mmHg.
4. pH 7.33, Pa CO2 55, HCO3 29
5. pH 7.25, Pa CO2 50, HCO3 30