Respiratory Metabolic Combined

CO2 and HCO3- both going opposite of pH i.e. pH going one way, other two going other way CO2 and HCO3 both going same direction as pH i.e. all 3 going same way CO2 opposite direction as pH HCO3- same direction as pH pH is normal pH is not normal AND just one of the other two (CO2 or HCO3) is normal pH is not normal and neither are either of the other two

Fully compensated Uncompensated Partially compensated

what you're given 1 pH 7.34 pCO2 33.9 HCO3 18.2 pO2 85.2 pH 7.34 pCO2 40.3 HCO3 21.4 pO2 41.0 pH 7.07 pCO2 11.4 HCO3 3.1 pO2 115.1 pH 7.18 pCO2 42.0 HCO3 15.0 pO2 69.0 pH 7.36 pCO2 30.0 HCO3 15.0 pO2 80.0 pH 7.59 pCO2 49.0 HCO3 48.2 pO2 58.7 pH 7.51 pCO2 39.4 HCO3 31.3 pO2 77.3 pH 7.44 pCO2 48.0 HCO3 32.6 pO2 63.6 pH 7.28 pCO2 79.5

which in arrow language is...

what is it?

and the answer is...

METABOLIC ACIDOSIS pH PaCO2 HCO3pH PaCO2 HCO3pH PaCO2 HCO3pH PaCO2 HCO3pH PaCO2 HCO3 N N N Partially Compensated Metabolic Acidosis with normal oxygenation.

Uncompensated Metabolic Acidosis with severe hypoxemia.

Partially Compensated Metabolic Acidosis -the patient is hyperventilating, causing an elevated PaO2. Uncompensated Metabolic Acidosis with hypoxemia.

16

17

Fully Compensated Metabolic Acidosis with normal oxygenation.

METABOLIC ALKALOSIS 3 pH PaCO2 HCO3pH PaCO2 HCO3pH PaCO2 HCO3 N N Partially Compensated Metabolic Alkalosis with hypoxemia.

Uncompensated Metabolic Alkalosis with hypoxemia.

15

Fully Compensated Metabolic Alkalosis with hypoxemia.

RESPIRATORY ACIDOSIS 8 pH PaCO2 Partially Compensated Respiratory Acidosis with Severe hypoxemia.

HCO3 37.1 pO2 30.0 11 pH 7.31 pCO2 58.5 HCO3 26.1 pO2 74.5 pH 7.36 pCO2 75.1 HCO3 40.6 pO2 65.2

HCO3pH PaCO2 HCO3pH PaCO2 HCO3-

N N Uncompensated Respiratory Acidosis with hypoxemia.

14

Fully Compensated Respiratory Acidosis with hypoxemia.

COMBINED (Respiratory & Metabolic) 6 pH 7.25 pCO2 74.3 HCO3 12.4 B.E. -13.4 pO2 29.1 pH 7.17 pCO2 69.3 HCO3 21.0 pO2 40.9 pH 7.08 pCO2 54.0 HCO3 15.0 pO2 54.0 pH 7.52 pCO2 31.0 HCO3 26.4 pO2 100 pH 7.45 pCO2 27.0 HCO3 19.1 pO2 65.5 pH 7.46 pCO2 34.0 HCO3 26.0 pO2 43.8 pH 7.44 pCO2 27.8 HCO3 19.2 pO2 100 pH 7.42 pCO2 39.0 HCO3 25.4 pO2 92.0 pH 7.39 pCO2 39.0 HCO3 23.4 pO2 61.2 pH PaCO2 HCO3 Combined Acidosis with severe hypoxemia.

pH PaCO2 HCO3pH PaCO2 HCO3pH PaCO2 HCO3-

Combined Acidosis with severe hypoxemia.

20

Combined Acidosis with hypoxemia.

19

Combined Alkalosis with normal oxygenation.

RESPIRATORY ALKALOSIS 7 pH PaCO2 HCO3pH PaCO2 HCO3pH PaCO2 HCO3pH PaCO2 HCO3pH PaCO2 HCO3N N N N N N N N N Fully Compensated Respiratory Alkalosis with hypoxemia.

12

Uncompensated Respiratory Alkalosis with severe hypoxemia.

13

Fully Compensated Respiratory Alkalosis with normal oxygenation.

18

Normal Arterial Blood Gas with normal oxygenation.

10

Normal Arterial Blood Gas with hypoxemia.