Acid-Base Interpretation | allnurses

Acid-Base Interpretation

  1. 0 I just had a test and have a question on an acid-base interpretation that we had to do.

    Here are the ABGs:

    pH 7.45
    CO2 30
    HCO3 32

    Both CO2 and HCO3 is showing an alkalotic state. Is this respiratory alkalosis or metabolic alkalosis??...with full compensation.

    Please help~! Thanks!!
  2. 4 Comments so far...

  3. Visit  pecanpies profile page
    Is this all the information you were given?
  4. Visit  knufflebunny profile page
    Yes. We had to interpret this as respiratory or metabolic, alkososis/acidic or neither, full or partial compensation.

    It doesn't make sense because both CO2 and bicarbonate are showing alkolosis. I wrote full compensation since it is at 7.45. But not sure if this is metabolic or respiratory.
  5. Visit  Streamline2010 profile page
    0 says:
    (1) partially compensated primary respiratory alkalosis, or
    (2) acute superimposed on chronic primary respiratory alkalosis, or
    (3) mixed acute respiratory alkalosis with a small metabolic acidosis

    pH > 7.48 and HCO3 > 22, for acute (uncompensated)
    pH < 7.42 and HCO3 < 19, for chronic (compensated)

    expected pH = 7.65
    expected CO2 = 47
    expected HCO3- = 20

    Other calculators called it a mixed disorder. Post the explanation, if you get one.
  6. Visit  Esme12 profile page
    abg's tic tac toe

    attached files
    abg tic tac toe part 1.doc (52.5 kb)
    abg tic tac toe part 2.doc (94.0 kb)
    JulieL and turnforthenurse like this.