used to identify specific acid-base disturbances and the extent of compensation
Blood gas analysis
Blood gas analysis typically relies on
arterial blood sample
essential for evaluating how well the lungs provide oxygen and remove carbon dioxide
Arterial blood gas (ABG)
ABG levels are measured where
radial, brachial, or femoral artery
arterial puncture is obtained via
indwelling arterial catheter.
base (a type of alkaline substance) that helps keep the pH of your blood balanced
Bicarbonate levels
shows the adequacy of the gas exchange between the alveoli and the external environment
PaCO2 or partial pressure of carbon dioxide
Normal PaCO₂ level:
35 to 45 mmHg
in hypoventilation CO2____
builds up leads to respiratory acidosis (blood becomes too acidic)
in hyperventilation, CO2___
goes down eads to respiratory alkalosis (blood becomes too basic)
indicates the amount of oxygen available to bind with hemoglobin
PaO2 or partial pressure of oxygen or PAO2
For PaO2, the normal range is
75 to 100 mmHg
amount of oxygen
in the blood that combines with hemoglobin.
SO2 or oxygen saturation
Oxygen saturation, the normal range is
95–100%
an alkaline substance that comprises over half of
the total buffer base in the blood
HCO3 or bicarbonate ion
For HCO3, the normal range is
22 to 26 mEq/L
tells us if there’s too much or too little base (like bicarbonate) in the blood
Base excess
Six Components of ABG
pH is hydrogen ions
PaCO2 or partial pressure of carbon dioxide
PaO2 or partial pressure of oxygen
SO2 or oxygen saturation
HCO3 or bicarbonate ion
Base excess or BE value
Arterial Blood Gas (ABG) test provides important information about three
key areas:
acid-base status
ventilation
arterial oxygenation
ABG tests can help diagnose conditions such as
acute respiratory
distress syndrome (ARDS),
severe sepsis
septic shock
hypovolemic
shock
diabetes-related ketoacidosis (DKA),
a syringe used to draw the sample.
heparinized blood gas syringe
If bicarbonate is low (< 22) this means
metabolic acidosis (blood is too acidic)
bicarbonate is high (> 26)
means metabolic alkalosis (blood is too basic)
helps neutralize acids and keeps your blood’s pH balanced.
HCO₃⁻, or bicarbonate, is a basic (alkaline)