What ABG lab will go really high when oxygen is administered?
PaO2
What is always important to take into consideration when the PaO2 is really high?
how much oxygen is being administered
If the pH is less than 7.40 where is it headed?
towards acidosis
If the pH is greater than 7.40 where is it headed?
towards alkalosis
What ABG component do we control with the ventilator?
pCO2
What is the respiratory component of the ABG?
pCO2
What kind of breaths do we give to blow off more CO2 thus decreasing the levels?
increased breaths or deeper breaths
What kind of breaths do give them to retain CO2 thus increasing the levels?
Fewer breaths or shallower breaths
What is the acidity factor of the ABG lab?
pCO2
The more CO2 the patient has, are they more acidotic or alkalotic?
acidotic (and the less CO2 the more alkalotic they are)
What is the normal range for pCO2?
35-45
What is the normal range for HCO3?
22-26
Can you do anything with the ventilator to fix HCO3?
no because it is a metabolic component
What do the HCO3 levels indicated?
the higher the level the more alkalotic and the lower the level the more acidotic
If the pH is normal but either the HCO3 or pCO2 is out of whack, what is it called?
FULLY compensated
If the pH is not normal but both the pCO2 and HCO3 are out of whack, what is it called?
PARTIALLY compensated
If the pH is not normal and only the pCO2 OR the HCO3 (NOT both of them, just one), what is it called?
uncompensated
pH is very high
pCO2 is low
HCO3 is high
Combined respiratory and metabolic alkalosis
pH is low
pCO2 is normal
HCO3 low
Metabolic Acidosis (uncompensated)
pH is very low
pCO2 is high
HCO3 is low
Combined respiratory and metabolic acidosis
pH is very low
pCO2 is very high
HCO3 is normal
Respiratory Acidosis (uncompensated)
pH is low
pCO3 is high
HCO3 is high
Partially compensated respiratory acidosis
pH is low
pCO3 is low
HCO3 is high
Partially compensated Metabolic Acidosis
If patient is respiratory alkalotic, what ventilation setting will help correct it?
decreasing ventilation rate and volume - holding onto more CO2