Scribd Logo
Upload

Welcome to Scribd!

  • 41 views

    Arterial Blood Gases: Dr. Mohamed Abbass Consultant Nephrology PGDD, Cardiff, Uk

    Uploaded by

    Anil Kumar
    This document provides information on interpreting arterial blood gases (ABG), including normal values and a 4-step process. It outlines normal pH, PaCO2, PaO2, HCO3, and other values. The 4 steps are: 1) determining if the values are authentic, 2) if there is acidosis or alkalosis, 3) assessing compensation, and 4) determining if the path is metabolic or respiratory. It then provides details on interpreting metabolic and respiratory pathways, including expected bicarbonate levels based on PCO2 and chronicity. Sample cases are presented and interpreted.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Arterial Blood Gases: Dr. Mohamed Abbass Consultant Nephrology PGDD, Cardiff, Uk

    Uploaded by

    Anil Kumar
    41 views21 pages
    This document provides information on interpreting arterial blood gases (ABG), including normal values and a 4-step process. It outlines normal pH, PaCO2, PaO2, HCO3, and other values. The 4 steps are: 1) determining if the values are authentic, 2) if there is acidosis or alkalosis, 3) assessing compensation, and 4) determining if the path is metabolic or respiratory. It then provides details on interpreting metabolic and respiratory pathways, including expected bicarbonate levels based on PCO2 and chronicity. Sample cases are presented and interpreted.

    Original Description:

    INTERPRETATION

    Original Title

    ABG

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This document provides information on interpreting arterial blood gases (ABG), including normal values and a 4-step process. It outlines normal pH, PaCO2, PaO2, HCO3, and other values. The 4 steps are: 1) determining if the values are authentic, 2) if there is acidosis or alkalosis, 3) assessing compensation, and 4) determining if the path is metabolic or respiratory. It then provides details on interpreting metabolic and respiratory pathways, including expected bicarbonate levels based on PCO2 and chronicity. Sample cases are presented and interpreted.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    41 views21 pages

    Arterial Blood Gases: Dr. Mohamed Abbass Consultant Nephrology PGDD, Cardiff, Uk

    Uploaded by

    Anil Kumar
    This document provides information on interpreting arterial blood gases (ABG), including normal values and a 4-step process. It outlines normal pH, PaCO2, PaO2, HCO3, and other values. The 4 steps are: 1) determining if the values are authentic, 2) if there is acidosis or alkalosis, 3) assessing compensation, and 4) determining if the path is metabolic or respiratory. It then provides details on interpreting metabolic and respiratory pathways, including expected bicarbonate levels based on PCO2 and chronicity. Sample cases are presented and interpreted.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 21

    Nephro-Medical Tube

    Arterial Blood Gases

    Dr. Mohamed Abbass


    Consultant Nephrology
    PGDD,CARDIFF,UK
    Normal value of ABG
    Arterial Venous

    PH 7.35-7.45 7.32-7.43
    (7.40)
    PaCO2 35–45 (40) 40 – 50 mmHg
    PaO2 >80 mmHg 25 – 40 mmHg
    HCO3a - (MEq/l) 22-26mmol/L (24) 23 – 27 mmol/L
    Base excess ± 2 mmol/L ± 2 mmol/L
    O2 saturation >95 % 30-40 %
    H+ 37−43 nEq/L 42−48 nEq/L
    Steps of interpretation of ABG ( 4

    STEPS )
    1.Authentic
    2.Acid or Alkalosis
    3.Compensation
    4.Metabolic or Respiratory pathway
     Metabolic pathway:
     A,B,C,D,E
    STEP 1: Authentic
     STEP3 : Compensation
     STEP3 : Compensation
     STEP3 : Compensation
     STEP3 : Compensation
     STEP 4 : Metabolic or Respiratory pathway
     Metabolic Pathway
     Metabolic Pathway
     Metabolic Pathway
    5. Electrolytes, urinary:
     To determine the causes of Metabolic acidosis
    o Measure the urinary anion gap (UAG) is relevant in
    hyperchloremic metabolic acidosis. UAG = [Na+] +
    [K+] – [Cl -]
     Negative UAG: bowel loss of bicarbonate
     Positive UAG: renal loss of bicarbonate
     To determine the causes of Metabolic alkalosis
    o
     Respiratory Pathway : O-1-2-3-4-5
     Oxygenation, assessment of: PaO2/FIO2 ratio is the ratio of
    arterial oxygen partial pressure to fractional alveolar oxygen,
    clinical indicator of hypoxaemia
     Acute Respiratory acidosis:
    Expected HCO3 =24+(PCO2-40/10 )X 1
     Chronic Respiratory acidosis:
    Expected HCO3 =24+(PCO2-40/10 )X 2
     Acute Respiratory alkalosis:
    Expected HCO3 =24-(40-PCO2/10) X 4
     Chronic Respiratory alkalosis:
     pH 7.18
     PCO2 58 mm Hg
     HCO3 26 mEq/L
     Respiratory acidosis (acute) due to no renal compensation.
     Expected HCO3 =24+(PCO2-40/10 )X 1= 25.5
     pH 7.39
     PCO2 52 mm Hg
     HCO3 29 mEq/L.
     Respiratory acidosis (chronic) with renal compensation.
     Expected HCO3 =24+(PCO2-40/10 )X 2= 26.4
     pH 7.57
     PCO2 25 mm Hg
     HCO3 23 mEq/L
     Respiratory alkalosis (acute) due to no renal compensation.
     Expected HCO3 =24-(40-PCO2/10) X 4= 18
     pH 7.44
     PCO2 24 mm Hg
     HCO3 16 mEq/L
     Respiratory alkalosis (chronic) with renal compensation.
     Expected HCO3 =24-(40-PCO2/10) X 5=
     Ph 7.50 (7.35–7.45)
     PCO2 28.1 mmHg (35–45)
     HCO3 23.9 mmol/L (22–28)
     Acute (uncompensated) respiratory alkalosis
     Excepted HCO3= 24-(40-PCO2/10) X 4= 19.16
     Ph 7.35 (7.35–7.45)
     PCO2 54.8 mmHg (35–45)
     HCO3 29 mmol/L (22–28)
     Chronic (compensated) primary respiratory acidosis
     Expected HCO3 =24+(PCO2-40/10 )X 2= 26.96

    You might also like