ABGs and pH Compensation Quiz
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Questions and Answers

What indicates acidosis in ABGs?

  • pH < 7.35 (correct)
  • pH is compensated
  • pH = 7.35 - 7.45
  • pH > 7.45

What indicates alkalosis in ABGs?

  • pH = 7.35 - 7.45
  • pH < 7.35
  • pH is compensated
  • pH > 7.45 (correct)

What does fully compensated mean?

When abnormalities in both systems occur and the pH is normal.

What is the key to compensation?

<p>A normal pH</p> Signup and view all the answers

What is partial compensation?

<p>Abnormalities in both systems with an abnormal pH.</p> Signup and view all the answers

What are the pH values for compensated acidosis?

<p>pH 7.35-7.39</p> Signup and view all the answers

What are the pH values for compensated alkalosis?

<p>pH 7.40-7.45</p> Signup and view all the answers

What does partially compensated metabolic alkalosis involve?

<p>High pH, high CO2, and high HCO3.</p> Signup and view all the answers

What does partially compensated metabolic acidosis involve?

<p>Low pH, low CO2, and low HCO3.</p> Signup and view all the answers

What does partially compensated respiratory alkalosis involve?

<p>High pH, low CO2, and low HCO3.</p> Signup and view all the answers

What does partially compensated respiratory acidosis involve?

<p>Low pH, high CO2, and high HCO3.</p> Signup and view all the answers

In uncompensated states, pH is out of range.

<p>True (A)</p> Signup and view all the answers

What does mixed acid-base disorder mean?

<p>More than one disorder influencing ABG values. (C)</p> Signup and view all the answers

When do respiratory and metabolic acidosis co-exist?

<p>When pCO2 is elevated and HCO3 is reduced.</p> Signup and view all the answers

When do respiratory and metabolic alkalosis co-exist?

<p>When pCO2 is reduced and HCO3 is elevated.</p> Signup and view all the answers

Will you ever see respiratory alkalosis and respiratory acidosis?

<p>False (B)</p> Signup and view all the answers

Flashcards

What indicates acidosis in ABGs?

A pH lower than 7.35 indicates acidosis, suggesting an imbalance in the body's acid-base equilibrium.

What indicates alkalosis in ABGs?

A pH higher than 7.45 indicates alkalosis, suggesting an excess of base in the body's fluids.

What does fully compensated mean?

Fully compensated means that the body has successfully balanced the acid-base disturbance, resulting in a normal blood pH.

What is the key to compensation?

The key to compensation is a normal pH value, indicating that the body has effectively restored acid-base balance.

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What is partial compensation?

Partial compensation occurs when the body is attempting to balance an acid-base disturbance, but the pH remains abnormal.

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What are the pH values for compensated acidosis?

In compensated acidosis, the pH is within a slightly acidic range, indicating that the body is partially compensating for the imbalance.

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What are the pH values for compensated alkalosis?

In compensated alkalosis, the pH is within a slightly alkaline range, indicating that the body is partially compensating for the imbalance.

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What does partially compensated metabolic alkalosis involve?

Partially compensated metabolic alkalosis involves a high pH, elevated CO2, and high HCO3 levels, signifying a metabolic imbalance.

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What does partially compensated metabolic acidosis involve?

Partially compensated metabolic acidosis involves a low pH, decreased CO2, and low HCO3 levels, indicating a metabolic imbalance.

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What does partially compensated respiratory alkalosis involve?

Partially compensated respiratory alkalosis involves a high pH, low CO2, and low HCO3 levels, suggesting a respiratory imbalance.

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What does partially compensated respiratory acidosis involve?

Partially compensated respiratory acidosis involves a low pH, high CO2, and high HCO3 levels, indicating a respiratory imbalance.

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In uncompensated states, pH is out of range.

In uncompensated states, the pH is outside the normal range, indicating that the body is not effectively coping with the acid-base disturbance.

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What does mixed acid-base disorder mean?

Mixed acid-base disorder involves multiple imbalances affecting ABG values, creating a complex acid-base disturbance.

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When do respiratory and metabolic acidosis co-exist?

Respiratory and metabolic acidosis co-exist when both the pCO2 and HCO3 levels are decreased, resulting in a complex acid-base disturbance.

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When do respiratory and metabolic alkalosis co-exist?

Respiratory and metabolic alkalosis co-exist when both the pCO2 and HCO3 levels are elevated, reflecting a complex mix of respiratory and metabolic imbalances.

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Will you ever see respiratory alkalosis and respiratory acidosis?

Respiratory alkalosis and respiratory acidosis cannot occur simultaneously. The body's respiratory system cannot be both acidic and alkaline at the same time.

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Study Notes

Compensated pH in ABGs

  • pH < 7.35 indicates acidosis.
  • pH > 7.45 indicates alkalosis.
  • A normal pH of 7.35-7.45 signifies compensation.
  • Uncompensated states feature pH < 7.35 or > 7.45.

Fully Compensated Definition

  • Fully compensated occurs when both systems show abnormalities but the pH remains normal.
  • CO2 and HCO3 levels are both out of range, either elevated or decreased.

Fully Compensated ABG pH Values

  • pH between 7.35 and 7.39 indicates compensated acidosis.
  • pH between 7.40 and 7.45 indicates compensated alkalosis.

Key to Compensation

  • A normal pH value is essential to confirm compensation.

Partial Compensation Definition

  • In partial compensation, both systems show abnormalities, resulting in an abnormal pH.
  • CO2 and HCO3 levels are not within the normal range.

Partially Compensated Metabolic Alkalosis

  • Characterized by high pH, high CO2, and high HCO3 levels.

Partially Compensated Metabolic Acidosis

  • Characterized by low pH, low CO2, and low HCO3 levels.

Partially Compensated Respiratory Alkalosis

  • Characterized by high pH, low CO2, and low HCO3 levels.

Partially Compensated Respiratory Acidosis

  • Characterized by low pH, high CO2, and high HCO3 levels.

Uncompensated States

  • pH is out of range with either CO2 or HCO3 being abnormal, but not both.

Mixed Acid-Base Disorders

  • Involve multiple disorders affecting ABG values.
  • Expected compensation may not occur or may be inadequate/extreme.
  • pCO2 and HCO3 levels show opposing abnormal readings.

Co-existence of Respiratory and Metabolic Acidosis

  • Occurs when pCO2 is elevated and HCO3 is reduced.

Co-existence of Respiratory and Metabolic Alkalosis

  • Occurs when pCO2 is reduced and HCO3 is elevated.

Respiratory Alkalosis and Respiratory Acidosis

  • These two conditions cannot co-exist in a patient.

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Description

Test your understanding of compensated and uncompensated pH levels in arterial blood gases (ABGs). This quiz covers key definitions and concepts regarding acidosis and alkalosis, helping you distinguish between the different states of pH compensation. Perfect for students in medical or health-related fields.

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