Arterial
Blood Gasses |
pH |
6.94 |
(7.35-7.45) |
PCO2 |
13 mmHg |
(32-46) |
PO2 |
150mmHg |
(74-135) |
HCO3 |
3 mEq/L |
(21-29) |
O2
Saturation |
98% |
(92-96) |
Base
excess |
-27 mEq/L |
(-2-+2) |
Instructor's
Notes: Three
key diagnostic indicators of an acid-base imbalance are the pH,
PCO2, and HCO3. The pH tells the physician if the blood too
acidic, too alkaline, or normal. A pH below the normal range
indicates the patient's blood is acidic. This can be a very serious
condition leading to coma and death. HCO3 is an
indication of how much "base" is present in the blood. HCO3 is
regulated by the kidneys. The low bicarbonate value (HCO3)
indicates the acidosis is caused by a metabolic problem rather than
respiratory. TThe pCO2 is an indicator of how
much "acid" is in thhe patient's blood.
pCO2 is regulated by the respiratory system.
In this case, the respiratory system is trying to compensate
by rapid breathing (hyperventilation) to get rid of acidic CO2. The
pCO2 values are low because of this compensatory mechanism.
Acid-Base imbalances are complex and will not be
dealt with in any detail here. It is important for the student to
understand that the patient is hyperventilating to compensate for
an acid-base imbalance. |