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
pH7.357.457.29PaCO₂mmHg354552HCO₃⁻mmol/L222624respiratorymetabolicacidosisalkalosis

A practice arterial blood gas shows pH 7.29, PaCO₂ 52 mmHg (6.9 kPa) and HCO₃⁻ 24 mmol/L. Which primary disorder is it? Click the cell in the grid.

pH 7.29PaCO₂ 52 mmHg (6.9 kPa)HCO₃⁻ 24 mmol/L
  1. 1respiratory acidosis
  2. 2metabolic acidosis
  3. 3respiratory alkalosis
  4. 4metabolic alkalosis
2.Easy
pH7.357.457.64PaCO₂mmHg354523HCO₃⁻mmol/L222624respiratorymetabolicacidosisalkalosis

A practice arterial blood gas shows pH 7.64, PaCO₂ 23 mmHg (3.1 kPa) and HCO₃⁻ 24 mmol/L. Which primary disorder is it? Click the cell in the grid.

pH 7.64PaCO₂ 23 mmHg (3.1 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⁻ 12 mmol/L. Use Winter’s formula to find the expected PaCO₂ (the centre of the range) in mmHg.

HCO₃⁻ 12 mmol/L
PaCO₂ = mmHg
4.Medium

A practice gas shows a metabolic acidosis with HCO₃⁻ 14 mmol/L. Use Winter’s formula to find the expected PaCO₂ (the centre of the range) in mmHg.

HCO₃⁻ 14 mmol/L
PaCO₂ = mmHg
5.Hard
pH7.357.457.28PaCO₂mmHg354569HCO₃⁻mmol/L222631acutechronicacute on chronic

A practice gas shows a respiratory acidosis: pH 7.28, PaCO₂ 69 mmHg (9.2 kPa), HCO₃⁻ 31 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 7.28PaCO₂ 69 mmHg (9.2 kPa)HCO₃⁻ 31 mmol/L
  1. 1acute
  2. 2chronic
  3. 3acute on chronic
6.Hard
pH7.357.457.25PaCO₂mmHg354526HCO₃⁻mmol/L222611added normal-gap acidosispure high-gap acidosisadded metabolic alkalosis

A practice gas shows pH 7.25, PaCO₂ 26 mmHg (3.5 kPa) and HCO₃⁻ 11 mmol/L, with Na⁺ 140 and Cl⁻ 108 mmol/L. Use the anion gap and the delta ratio to click the best interpretation.

pH 7.25PaCO₂ 26 mmHg (3.5 kPa)HCO₃⁻ 11 mmol/LNa⁺ 140 mmol/LCl⁻ 108 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 alkalosis
  3. 3. PaCO₂ = 26 mmHg
  4. 4. PaCO₂ = 29 mmHg
  5. 5. acute on chronic
  6. 6. added normal-gap acidosis

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