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
pH7.357.457.21PaCO₂mmHg354575HCO₃⁻mmol/L222629respiratorymetabolicacidosisalkalosis

A practice arterial blood gas shows pH 7.21, PaCO₂ 75 mmHg (10.0 kPa) and HCO₃⁻ 29 mmol/L. Which primary disorder is it? Click the cell in the grid.

pH 7.21PaCO₂ 75 mmHg (10.0 kPa)HCO₃⁻ 29 mmol/L
  1. 1respiratory acidosis
  2. 2metabolic acidosis
  3. 3respiratory alkalosis
  4. 4metabolic alkalosis
2.Easy
pH7.357.457.29PaCO₂mmHg354539HCO₃⁻mmol/L222618respiratorymetabolicacidosisalkalosis

A practice arterial blood gas shows pH 7.29, PaCO₂ 39 mmHg (5.2 kPa) and HCO₃⁻ 18 mmol/L. Which primary disorder is it? Click the cell in the grid.

pH 7.29PaCO₂ 39 mmHg (5.2 kPa)HCO₃⁻ 18 mmol/L
  1. 1respiratory acidosis
  2. 2metabolic acidosis
  3. 3respiratory alkalosis
  4. 4metabolic alkalosis
3.Medium
pH7.357.457.59PaCO₂mmHg354538HCO₃⁻mmol/L222635uncompensatedpartially compensatedfully compensated

A practice arterial blood gas shows pH 7.59, PaCO₂ 38 mmHg (5.1 kPa) and HCO₃⁻ 35 mmol/L. The primary disorder is metabolic alkalosis. How far is it compensated? Click your answer.

pH 7.59PaCO₂ 38 mmHg (5.1 kPa)HCO₃⁻ 35 mmol/L
  1. 1uncompensated
  2. 2partially compensated
  3. 3fully compensated
4.Medium
pH7.357.457.37PaCO₂mmHg354561HCO₃⁻mmol/L222634uncompensatedpartially compensatedfully compensated

A practice arterial blood gas shows pH 7.37, PaCO₂ 61 mmHg (8.1 kPa) and HCO₃⁻ 34 mmol/L. The primary disorder is respiratory acidosis. How far is it compensated? Click your answer.

pH 7.37PaCO₂ 61 mmHg (8.1 kPa)HCO₃⁻ 34 mmol/L
  1. 1uncompensated
  2. 2partially compensated
  3. 3fully compensated
5.Hard
pH7.357.457.30PaCO₂mmHg354577HCO₃⁻mmol/L222637acutechronicacute on chronic

A practice gas shows a respiratory acidosis: pH 7.30, PaCO₂ 77 mmHg (10.3 kPa), HCO₃⁻ 37 mmol/L. Use the rules ‘HCO₃⁻ rises 1 mmol/L per 10 mmHg (acute) or 3.5 mmol/L per 10 mmHg (chronic)’ to classify it. Click your answer.

pH 7.30PaCO₂ 77 mmHg (10.3 kPa)HCO₃⁻ 37 mmol/L
  1. 1acute
  2. 2chronic
  3. 3acute on chronic
6.Hard

At sea level, a practice gas taken on 21% oxygen shows PaO₂ 81 mmHg (10.8 kPa) and PaCO₂ 33 mmHg (4.4 kPa). Use PAO₂ = FiO₂·(760 − 47) − PaCO₂/0.8 to find the A–a gradient.

FiO₂ 21%PaO₂ 81 mmHg (10.8 kPa)PaCO₂ 33 mmHg (4.4 kPa)
A–a gradient = mmHg

Answer key

  1. 1. respiratory acidosis
  2. 2. metabolic acidosis
  3. 3. uncompensated
  4. 4. fully compensated
  5. 5. chronic
  6. 6. A–a gradient = 27.48 mmHg

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