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ABG Practice Questions

This document contains a series of practice questions related to interpreting arterial blood gas (ABG) results. The questions present ABG lab values for various patients and ask to identify the acid-base disturbance and potential causes. The patients described include examples of respiratory acidosis, respiratory alkalosis, and metabolic acidosis related to conditions like pneumonia, hyperventilation, and diabetic ketoacidosis.

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bbarnes0912
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462 views4 pages

ABG Practice Questions

This document contains a series of practice questions related to interpreting arterial blood gas (ABG) results. The questions present ABG lab values for various patients and ask to identify the acid-base disturbance and potential causes. The patients described include examples of respiratory acidosis, respiratory alkalosis, and metabolic acidosis related to conditions like pneumonia, hyperventilation, and diabetic ketoacidosis.

Uploaded by

bbarnes0912
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
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KBiggers SP 15

2501

ABG Practice Questions


1. Mr. M is a 65 year old male admitted with a decreased LOC. He has a history of
chronic bronchitis and heart failure. His vital signs are: T = 102, P = 104, RR =
28
and shallow and B/P = 90/60. ABG results are as follows:
pH 7.2
PaCO2 75 mm Hg
HCO3 26 mEq/L
What is the acid base disturbance? ____________________________________
What would be some of the causes of this disorder?
a.
b.
c.
d.

Vomiting, diarrhea, prolonged diuretics


Pain, fever, hyperventilation
Pneumonia, hypoventilation, pneumothorax
Renal failure, ASA overdose, ketoacidosis

2. Mrs. G. who has had diarrhea for 3 days. You notice a change in mental status
and she is breathing shallowly. An ABG is drawn and here are the results:
pH 7.44
PaCO2 50 mm Hg
HCO3 31 mEq/L
What is the acid base disturbance? ____________________________________
What would be some of the causes of this disorder?
e.
f.
g.
h.

Vomiting, diarrhea, prolonged diuretics


Pain, fever, hyperventilation
Pneumonia, hypoventilation, pneumothorax
Renal failure, ASA overdose, ketoacidosis

3. Miss Lillie, a 22 y/o female, is admitted with an acute onset of fever, chills, and
RUQ pain. Her vitals: Temp. 99.6; Pulse 125; RR 32; Bp 140/84. Her ABG results
are:
pH 7.53
paCO2 30 mm Hg
HCO3 22 mEq/L
What is the acid base disturbance? ____________________________________

KBiggers SP 15
2501

What would be some of the causes of this disorder?


i.
j.
k.
l.

Vomiting, diarrhea, prolonged diuretics


Pain, fever, hyperventilation
Pneumonia, hypoventilation, pneumothorax
Renal failure, ASA overdose, ketoacidosis

4. Mr. Jones is a 45 y/o male admitted with a history of diabetes. He has a temp. of
101.8; pulse= 110; RR= 30; Bp= 90/70. Labs are drawn and reveal a glucose of
780 mg/dl; positive ketones and the following ABG results:
pH 7.25
paCO2 30 mm Hg
HCO3 22 mEq/dl
What is the acid base disturbance? ____________________________________

What would be some of the causes of this disorder?


m.
n.
o.
p.

Vomiting, diarrhea, prolonged diuretics


Pain, fever, hyperventilation
Pneumonia, hypoventilation, pneumothorax
Renal failure, ASA overdose, ketoacidosis

5. Mrs. Brown calls you to her room and c/o shortness of breath. Her pulse ox on
RA= 89%. She has rhonchi in all lobes and has a temp. 102; pulse=122; RR=36;
Bp= 160/92. Her ABG results are the following:
pH 7.33
paCO2 72 mm Hg
HCO3 24 mEq/dl
What is the acid base disturbance? ____________________________________
The PaO2 measures what? __________________________________________
What are some causes of low PaO2?
a.
b.
c.
d.
e.

Low supply of oxygen


Decreased cardiac output
Anemia
Carbon monoxide poisoning
All of the above

KBiggers SP 15
2501

6. Interpret the following ABG: _________________________________________


pH 7.41
PaO2 30 mm Hg
HCO3 20 mEq/dl

7. Interpret the following ABG: __________________________________________


pH 7.30
PaO2 75 mm Hg
HCO3 22 mEq/dl

8. Interpret the following ABG: __________________________________________


pH 7.36
PaO2 32 mm Hg
HCO3 20 mEq/dl

9. Interpret the following ABG: __________________________________________


pH 7.48
PaO2 46 mm Hg
HCO3 28 mEq/dl

10. Interpret the following ABG: __________________________________________


pH 7.38
PaO2 50 mm Hg
HCO3 27
11. Interpret the following ABG: __________________________________________
pH 7.50
PaO2 35 mm Hg
HCO3 32 mEq/dl

KBiggers SP 15
2501

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