Pulmonology · Respiratory Therapist

Respiratory Therapy: Arterial Blood Gases

Systematic ABG interpretation for acid-base disorders and oxygenation status tested on respiratory therapist certification exams.

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Normal pH range on ABG
7.35 to 7.45
Normal PaCO2 range on ABG
35 to 45 mmHg
Normal PaO2 range on ABG at sea level, room air
80 to 100 mmHg
Normal HCO3- range on ABG
22 to 26 mEq/L
Normal SaO2 range on ABG at sea level, room air
95 to 100 percent
Acidemia is defined as ABG pH
Less than 7.35
Alkalemia is defined as ABG pH
Greater than 7.45
Respiratory acidosis occurs when pH is below 7.35 and PaCO2 is
Above 45 mmHg
Respiratory alkalosis occurs when pH is above 7.45 and PaCO2 is
Below 35 mmHg
Metabolic acidosis occurs when pH is below 7.35 and HCO3- is
Below 22 mEq/L
Metabolic alkalosis occurs when pH is above 7.45 and HCO3- is
Above 26 mEq/L
Respiratory compensation for metabolic acidosis involves
Hyperventilation to decrease PaCO2
Respiratory compensation for metabolic alkalosis involves
Hypoventilation to increase PaCO2
Renal compensation for respiratory acidosis involves
Increased HCO3- reabsorption
Renal compensation for respiratory alkalosis involves
Increased HCO3- excretion

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