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ABG – 3

Clinical Chemistry

by Medical Educator : August 2, 2022August 2, 2022 Clinical Chemistry

A 22 year old man presents to A&E after failing his driving test.

He feels non specifically unwell. An ABG is taken.

pH	7.36	7.35-7.45
P_aO₂	17	>10.6
Pa CO₂	2.5	4.7-6
HCO₃^2-	16	20-28
Base excess	-7	+/- 2

What is the most likely diagnosis?

Metabolic acidosis
Metabolic Alkalosis
Respiratory Acidosis
Respiratory Alkalosis
Compensated respiratory acidosis
Compensated metabolic acidosis
Partially compensated respiratory acidosis
Partially compensated metabolic acidosis

Compensated metabolic acidosis.

The PH is normal. So it is not an acidosis, an alkalosis or a partially compensated problem. So its either: a compensated problem, a mixed respiratory acidosis and metabolic alkalosis (2 separate disease processes) or a nomal ABG!

Whats the CO2? Low: its therefore respiratory compensation

Whats the HCO3? Low: Implying an metabolic acidosis

Diagnosis? Compensated metabolic acidosis.