Arterial blood gas interpretation worksheet with answers

Free printable Arterial blood gas interpretation worksheet: 6 problems from easy to exam level, with an answer key. Print it or save it as a PDF.

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Name: ____________________   Date: ____________

1.Easy
pH7.357.457.16PaCO₂mmHg354569HCO₃⁻mmol/L222624respiratorymetabolicacidosisalkalosis

A practice arterial blood gas shows pH 7.16, PaCO₂ 69 mmHg (9.2 kPa) and HCO₃⁻ 24 mmol/L. Which primary disorder is it? Click the cell in the grid.

pH 7.16PaCO₂ 69 mmHg (9.2 kPa)HCO₃⁻ 24 mmol/L
  1. 1respiratory acidosis
  2. 2metabolic acidosis
  3. 3respiratory alkalosis
  4. 4metabolic alkalosis
2.Easy
pH7.357.457.28PaCO₂mmHg354553HCO₃⁻mmol/L222624respiratorymetabolicacidosisalkalosis

A practice arterial blood gas shows pH 7.28, PaCO₂ 53 mmHg (7.1 kPa) and HCO₃⁻ 24 mmol/L. Which primary disorder is it? Click the cell in the grid.

pH 7.28PaCO₂ 53 mmHg (7.1 kPa)HCO₃⁻ 24 mmol/L
  1. 1respiratory acidosis
  2. 2metabolic acidosis
  3. 3respiratory alkalosis
  4. 4metabolic alkalosis
3.Medium

A practice gas shows a metabolic acidosis with HCO₃⁻ 18 mmol/L. Use Winter’s formula to find the expected PaCO₂ (the centre of the range) in mmHg.

HCO₃⁻ 18 mmol/L
PaCO₂ = mmHg
4.Medium

A practice gas shows a metabolic acidosis with HCO₃⁻ 8 mmol/L. Use Winter’s formula to find the expected PaCO₂ (the centre of the range) in mmHg.

HCO₃⁻ 8 mmol/L
PaCO₂ = mmHg
5.Hard
pH7.357.457.20PaCO₂mmHg354521HCO₃⁻mmol/L22268appropriate compensationadded respiratory acidosisadded respiratory alkalosis

A practice gas shows a metabolic acidosis: pH 7.20, PaCO₂ 21 mmHg (2.8 kPa), HCO₃⁻ 8 mmol/L. Compare the measured PaCO₂ with Winter’s formula. Click your interpretation.

pH 7.20PaCO₂ 21 mmHg (2.8 kPa)HCO₃⁻ 8 mmol/L
  1. 1appropriate compensation
  2. 2added respiratory acidosis
  3. 3added respiratory alkalosis
6.Hard
pH7.357.457.31PaCO₂mmHg354535HCO₃⁻mmol/L222617added normal-gap acidosispure high-gap acidosisadded metabolic alkalosis

A practice gas shows pH 7.31, PaCO₂ 35 mmHg (4.7 kPa) and HCO₃⁻ 17 mmol/L, with Na⁺ 134 and Cl⁻ 85 mmol/L. Use the anion gap and the delta ratio to click the best interpretation.

pH 7.31PaCO₂ 35 mmHg (4.7 kPa)HCO₃⁻ 17 mmol/LNa⁺ 134 mmol/LCl⁻ 85 mmol/L
  1. 1added normal-gap acidosis
  2. 2pure high-gap acidosis
  3. 3added metabolic alkalosis

Answer key

  1. 1. respiratory acidosis
  2. 2. respiratory acidosis
  3. 3. PaCO₂ = 35 mmHg
  4. 4. PaCO₂ = 20 mmHg
  5. 5. appropriate compensation
  6. 6. added metabolic alkalosis

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