Name That Disorder
pH 7.30, CO2 52, HCO3 26
What is Uncompensated Respiratory Acidosis
pH 7.28, CO2 49, HCO3 24
What is Uncompensated Respiratory Acidosis
A patient has been vomiting for 48 hours
What is Metabolic Alkalosis
pH is normal, CO2 is abnormal, HCO3 abnormal. What does this mean?
What is Fully Compensated
ABG: pH 7.30, CO2 60, patient is confused & drowsy. What do you do?
What is Improve Ventilation (e.g. purse-lip breathing, BiPAP, prep for intubation)
Diagnosis: Respiratory Acidosis
pH 7.50, CO2 30, HCO3 24
What is Uncompensated Respiratory Alkalosis
What is Partially Compensated Metabolic Alkalosis
A patient is hyperventilating during a panic attack
What is Respiratory Alkalosis
pH is abnormal, CO2 is abnormal, HCO3 is normal. What does that mean?
What is Uncompensated
ABG: pH 7.52, CO2 28; Patient is anxious & breathing fast. What do you do?
What is Coach slow breathing/consider rebreathing strategies
Diagnosis: Respiratory Alkalosis
pH 7.28, CO2 40, HCO3 18
What is Uncompensated Metabolic Acidosis
pH 7.36, CO2 55, HCO3 30
What is Fully Compensated Respiratory Acidosis
A COPD exacerbation with shallow breathing
What is Respiratory Acidosis
True or False: A normal pH always means the patient is stable.
ABG: pH 7.25, HCO3 14. Patient is in DKA. What do you do?
What is Give IV fluids and Insulin
Diagnosis: Metabolic Acidosis
pH 7.48, CO2 45, HCO3 30
pH 7.31, CO2 30, HCO3 15
What is Partially Compensated Metabolic Acidosis
A diabetic patient in DKA
What is Metabolic Acidosis
pH 7.44, CO2 48, HCO3 32. What's happening?
What is Fully Compensated Metabolic Alkalosis
ABG: pH 7.50, HCO3 32. Patient has been vomiting all day. What do you do?
What is replace fluids & electrolytes
Diagnosis: Metabolic Alkalosis
pH 7.37, CO2 50, HCO3 29
What is Fully Compensated Respiratory Acidosis
pH 7.43, CO2 32, HCO3 20
What is Fully Compensated Metabolic Alkalosis
A patient with chronic kidney failure
What is Metabolic Acidosis
pH is abnormal, CO2 abnormal, HCO3 abnormal. What does that mean?
What is Partially Compensated
ABG: pH 7.37, CO2 55, HCO3 30; COPD patient on 4L O2 hard to arouse. What do you do?
What is reduce O2 to baseline, support ventilation.
Diagnosis: Fully Compensated Respiratory Acidosis