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4-Step ABG Interpretation Method
Step 1: Look at pH — acidotic or alkalotic?
4-Step ABG Interpretation Method
Step 2: Look at PaCO2 — does it explain the pH (opposite direction)? If yes → respiratory
4-Step ABG Interpretation Method
Step 3: If not, look at HCO3- — does it move the same direction as pH? → metabolic
4-Step ABG Interpretation Method
Step 4: Check if the OTHER value has shifted toward normal → that system is compensating
Rapid Recall — Unit 4 Exam Cues - Kussmaul respirations
(deep, rapid breathing)
Rapid Recall — Unit 4 Exam Cues - Kussmaul respirations
are strongly associated with DKA
Rapid Recall — Unit 4 Exam Cues - Hyperventilation
blows off CO2 → respiratory ALKALOSIS (not acidosis) — a very common exam trap
Rapid Recall — Unit 4 Exam Cues - Hypoventilation
(e.g., opioid overdose, COPD) → CO2 builds up → respiratory ACIDOSIS
Rapid Recall — Unit 4 Exam Cues - Vomiting/NG suction
loses stomach acid (HCl) → metabolic ALKALOSIS
Rapid Recall — Unit 4 Exam Cues - Vomiting/NG suction
Also causes hypochloremia and hypokalemia
Rapid Recall — Unit 4 Exam Cues - Diarrhea
loses bicarbonate-rich intestinal fluid → metabolic ACIDOSIS