最新 ICU必备课件.pptVIP

Step 3: study PaCO2 HCO 3 respiratory irregularity if PaCO2 abnl HCO3 NL metabolic irregularity if HCO3 abnl PaCO2 NL Four-step ABG Interpretation Step 4: Determine if there is a compensatory mechanism working to try to correct the pH. ie: if have primary respiratory acidosis will have increased PaCO2 and decreased pH. Compensation occurs when the kidneys retain HCO3. Four-step ABG Interpretation ~ PaCO2 – pH Relationship 80 7.2060 7.3040 7.4030 7.5020 7.60 Compensated Respiratory Acidosis CO2 More Abnormal Respiratory Acidosis CO2 Expected Mixed Respiratory Met