More lab help please

Nurses General Nursing

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my patient's labs are

ph 7.405

pco2 45.7 h

hco3 28.6 h

tco2 30 h

nothing seems to match up in my lab book...

any ideas??

:loveya:

ok...well from what i am getting from these labs is that the patient is in respiratory acidosis because of the elevated co2. since the hco3 levels are also increased that indicates the patient is compensating for the resp acidosis; the normal ph level indicates that the patient is fully compensating.

i hope this helps.

thats what i was thinking but he didnt have any symptoms of resp acidosis... but i think thats what im going with because i have no idea what else it could be...

thank for the help:yeah::yeah:

well if the patient is compensating he wont have symptoms... only the lab results would show

Specializes in Med Surg, ER, OR.

yeah the ABGs dont look too bad. I would love these values on any hospitalized pt with Resp or Met issues. but since the pH is ever so slightly elevated from neutral (7.4) and the HCO3 is slightly elevated...it would make it a met issue if you would even want to classify it as anything (remember ROME). No matter what you dx this as, it still shouldn't be a worrisome issue. Just go off of how your pt clinically appears!

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