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Arterial Blood Gases Hangman

 
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Question Answer
Normal pH  7.35-7.45  
Normal PCO2  35-45  
Normal HCO3  22-26  
Alkalosis pH  >7.45  
Acidosis pH  <7.35  
PCO2 >45  respiratory acidosis  
PCO2 <35  respiratory alkalosis  
HCO3 >26  metabolic alkalosis  
HCO3 <22  metabolic acidosis  
If PCO2 between 35-45 then  No respiratory problems and no respiratory compensation for metabolic problems  
if HCO3 between 22-26 then  No primary metabolic problems and the kidneys are not compensating for respiratory problems  
If PCO2 >45 then  Respiratory retention of CO2 to compensate for metabolic alkalosis  
If PCO2 <35 then  Respiratory retention of CO2 to compensate for metabolic acidosis  
If HCO3 <22 then  Kidneys are attempting to compensate for respiratory alkalosis  
If HCO3 >26 then  Kidneys are attempting to compensate for repiratory acidosis  
Causes of respiratory alkalosis  Alveolar hyperventilation  
Causes of respiratory acidosis  Alveolar hypoventilation  
Causes of metabolic alkalosis  Bicarbonate ingestion, vomiting, diuretics, steroids, adrenal disease  
Causes of metabolic acidosis  Diabetic, lactic, or uremic acidosis, prolonged diarrhea  
Signs/Symptoms of respiratory alkalosis  Dizziness, syncope, tingling, numbness, early tetany  
Signs/Symptoms respiratory acidosis  Early: anxiety, restlessness, dyspnea, headache; Late: confusion, somnolence, coma  
Signs/Symptoms metabolic alkalosis  Vague symptoms: weakness, mental dullness, possible early tetany  
Signs/Symptoms metabolic acidosis  Secondary hyperventilation (Kussmaul's breathing), nausea and vomiting, cardiac dysrhythmias, lethargy, and coma  
7.35- 7.45  normal ph  
35 -45  normal CO2  
22-26  normal HCO3