which of the following value would you evaluate to establish a patients overall acid base status?
-PaO2
-pH
-HCO3
-paCO2
ANSWER:-
1. To establish a patient's acid bas status , The pH, obtained from the ABG ( Arterial Blood Gas) is thefirst value analysed.
A 3-step process is used to assess acid base disorder:-
-establishment of a primary disturbance.
-determination of the serum anion gap
- evaluation of compensation.
Normal pH of blood range from 7.35-7.45
Acid base disorders are pathologic changes in carbondioxide partial pressure Pco2 or serum bicarbonate(HCO3).
Acidemia(acid accumulation or alkali loss):- serum pH<7.35
Alkalemia (alkali accumulation or acid loss) :- serum pH>7.45
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