Arterial Blood Gas Practice Questions Answers

1



A 28 yr female suffered cold and cough since 4 days. Now admitted to hospital with severe
respiratory distress.
7.27/58/60 on 5L, HCO
3
-
26, anion gap is 10, albumin is 4.0
ACUTE RESPIRATORY ACIDOSIS
(secondary to pneumonia)

A 35 yr old pregnant lady admitted after 6-7 episodes of vomiting since last night.
7.58/55/80 on room air, HCO
3
-
46, anion gap is 10, albumin is 4.0.
METABOLIC ALKALOSIS
(secondary to vomiting)

A 50 yr male chronic alcoholic admitted to emergency department in respiratory distress
7.46/20/80 on room air, HCO
3
-
16, anion gap = 10, albumin = 4.0
CHRONIC RESPIRATORY ALKALOSIS
(secondary to chronic liver disease - cirrhosis)

A 12 yr old child admitted following severe diarrhea on school picnic is lethargic and drowsy
7.28/27/90 on room air, HCO
3
-
13, anion gap = 10, albumin = 4.0
Non-Anion Gap Metabolic Acidosis
(secondary to diarrhea)

A 55 yr male chronic smoker and k/c/o ca lung and on bleomycin chemotherapy admitted c/o
respiratory distress and drowsy
7.35/52/50 on room air, HCO
3
-
27, anion gap = 10, albumin = 4.0
Chronic Respiratory Acidosis
(secondary to pulmonary fibrosis)

A pregnant lady with 28 wk pregnancy admitted with respiratory distress
7.43/30/95 on room air, HCO
3
-
20, anion gap = 10, albumin = 4.0
Chronic Respiratory Alkalosis
(secondary to pregnancy)
Arterial Blood Gas Practice Questions Answers
2

A 40 yr Male patient after major abdominal surgery had drop in urine output in postop in ICU
and was started on diuretic infusion overnight. ABG next morning
7.48/49/75 on room air, HCO
3
-
37, anion gap = 10, albumin = 4.0
METABOLIC ALKALOSIS
(secondary to diuretic use - furosemide)
A 6 yr old child admitted to emergency department for respiratory distress after peanut
ingestion. ABG shows 7.21/64/70 on room air, HCO
3
-
26, anion gap = 10, albumin = 4.0
ACUTE RESPIRATORY ACIDOSIS
(secondary to obstruction stridor from anaphylaxis)

A 55 yr female k/c/o IHD admitted with alleged h/o drug intoxication after fight with husband
7.38/23/84 on room air, HCO
3
-
16, anion gap = 18, albumin = 4.0
ANION GAP METABOLIC ACIDOSIS
(secondary aspirin)
RESPIRATORY ALKALOSIS
(secondary to aspirin)