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Assess for acidosis (p" #$.%&) or al'alosis (p" ($.)&). %. Assess for *espiratory (p+O2) or ,etabolic ("+O3) components.
. Evaluation
-ormal... *espiratory Acidosis *espiratoty Al'alosis ,etabolic Acidosis ,etabolic Al'alosis
pH
$.%&-$.)& #$.%& ($.)& #$.%& ($.)&
pCO2**
%&-)& ()& #%& /-0 /-0
HCO3
!!-!8 /-0 /-0 #!! (!8
.
.
Metabolic acidosis
Metabolic
Metabolic alkalosis
4. Assess for compensation (the body1s ability to correct acidosis or al'alosis). +ompensation is present if the p" is normal even tho23h the p+O2 and4or the "+O3 are abnormal. 5. 5f compensation is present6 assess 7hich is the primary component causing the imbalance and 7hich is the compensatory component
correcting the imbalance. . a. 5s the p" in the acid ran3e ($.%&-$.)0) or in the al'aline ran3e ($.)1-$.)&) b. 8he component in the same direction as the p" is the primary component. c. 8he component in the opposite direction as the p" is the compensatory
component.
. Evaluation
+ompensated *espiratory Acidosis
ph
pCO2 HCO3
(!8 #!! #!! (!8
$.%&-$.)0 ()&
+ompensated *espiratoty Al'alosis $.)1-$.)& #%& +ompensated ,etabolic Acidosis +ompensated ,etabolic Al'alosis $.%&-$.)0 #%& $.)1-$.)& ()&