A blood specimen has a hydrogen concentration of 37.5 nmol/liter
and PCO2 of 60mmHg. What is the pH? What type of abnormality does
the patient exhibit (See Table 10.2)?
Table 10.2 Examples of Arterial Blood Gases in Different clinical Situations PO2, mm Hg Interpretation Example PCO2, mm Hg pH Likely causes Therapy 40 3 40– 0.03 90 5 Normal blood gas None 44 3 7.37 0.03 88 5 Normal blood gas while asleep Hyperventilation 22 7.57 106 Anxiety None Hypoventilation 68 7.10 58 Central nervous system Mechanical ventilation: depression; blockage relieve the cause of upper airway 58 7.21 39 Hypoventilation and Pneumonia; small-airway Oxygen; bronchodilators; hypoxemia obstruction; severe mechanical ventilation asthma 6.99 Birth asphyxia; 61 29 Combined respiratory Oxygen; mechanical and metabolic acidosis near-drowning ventilation; buffers? and hypoxemia 60 7.37 106 Chronic respiratory Patient has chronic lung Treat chronic disease acidosis with metabolic disease and is on oxygen no additional therapy compensation; patient may be necessary is receiving supplemental oxygen 29 7.31 106 Metabolic acidosis with Diabetic: ketoacidosis; Treat the cause: buffers? respiratory compensation dehydration SOURCE B. G. Nickerson and F. Monaco. “Carbon dioxide electrodes, arterial and transcutaneous,” in J. G.Webster (ed.), Encyclopedia of Medical Devices and Instrumentation. New York: Wiley, 1988, pp. 564-569.