Abg interpretation made easy pdf 2025

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There are four simple acid base disorders: (1) Metabolic acidosis, (2) respiratory acidosis, (3) metabolic alkalosis, and (4) respiratory alkalosis.
When interpreting an ABG, it is important to use the same stepwise approach. Determine oxygenation (PaO2) Determine pH (acidosis or alkalosis) Determine respiratory component (PaCO2) Determine metabolic component (Bicarbonate) Determine compensation. Final interpretation. Review other parameters.
After validating the ABG, identifying primary acid-base disturbances follows. There are four primary acid-base disorders: respiratory acidosis, respiratory alkalosis, metabolic acidosis, and metabolic alkalosis (1,2). Respiratory disorders can be subcategorized as acute or chronic disorders.
The four leading causes of metabolic acidosis include: Diabetes-related acidosis. Diabetes-related acidosis develops when ketone bodies build up in your body from untreated diabetes. Hyperchloremic acidosis. Lactic acidosis. Renal tubular acidosis.
Rules for rapid clinical interpretation of ABG Look at pH - 7.40 - Acidosis; 7.40 - Alkalosis. If pH indicates acidosis, then look at paCO2and HCO3- If paCO2is , then it is primary respiratory acidosis. If paCO2 and HCO3- is also primary metabolic acidosis. If HCO3-is , then AG should be examined.
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ROME is a useful mnemonic to keep in mind for ABGs. In Respiratory conditions the pH and PaCO2 go in Opposite directions. In Metabolic conditions the pH and HCO3 are Equal and go in the same direction. Using the information above, match the results to the correct acid-base disorder.
Disorders of acidbase balance are classified ing to their cause, and the direction of the pH change, into respiratory acidosis, metabolic acidosis, respiratory alkalosis, or metabolic alkalosis.
pH: 7.35-7.45. Partial pressure of oxygen (PaO2): 75 to 100 millimeters of mercury (mmHg). Partial pressure of carbon dioxide (PaCO2): 35 to 45 mmHg. Bicarbonate (HCO3): 22 to 26 milliequivalents per liter (mEq/L).

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