Acid base

pH

  • Normal: 7.35-7.45

  • Decrease in pH/ Increase in H+: Acidic

  • Increase in pH/ Decrease in H+: Basic

HCO3

  • basic

  • Normal: 22-26

  • <22: Loss of HCO3- (acidosis)

  • >26: Increase in HCO3- (alkalosis)

CO2

  • acidic

  • Normal: 35-45

  • >45: Increase in CO2 (acidosis)

  • <35: Decrease in CO2 (alkalosis)

Respiratory alkalosis

  • Primary cause: decreased CO2

    • compensation: decreased HCO3 / increased pH

  • hyperventilation

  • anxiety, aspirin

Respiratory acidosis

  • primary cause: increased CO2

    • compensation: increased HCO3 / decreased pH

  • hypoventalation / shallow breathing

  • Benzos, COPD pneumonia, CHF,

Metabolic alkalosis

  • primary cause: increased HCO3