(AGDA)
Dr. Said Aandy Saida
Bagian/SMF Ilmu Penyakit Dalam
FK Unsyiah/RSUDZA Banda Aceh
2016
Apa yang
dibaca ?
pH, PaCO2, BE
HCO3, PaO2,
SaO2
pH Classification
Classification
pH
Normal
7.35-7.45
Acidosis
< 7.35
Alkalosis
>7.45
Classification of Laboratory
Respiratory Acid-Base Component
Classification
Normal Resp.Component
PaCO2 (mmHg)
35-45
Respiratory Acidosis
>45
Respiratory Alkalosis
<35
Classification of Laboratory
Metabolic Acid-Base Component
Classification
BE
HCO3
Normal Metab.Component
02
242
Metabolic Acidosis
< -2
<22
Metabolic Alkalosis
> +2
>26
Langkah Langkah
ACIDOSIS
ALKALOSI
S
7,35
pH
7,45
45
PaCO2
35
-2
BE
+2
22
HCO3
26
pH
7,45
45
PaCO
40 2
35
-2
BE
+2
22
HCO3
26
7.28 7,35
-10
ALKALOSI
S
pH
7,45
45
PaCO2
35
-2
BE
+
1
HCO3
+2
7.32 7,35
55
ALKALOSI
S
22
26
pH : 7,50 ; PaCO2 : 30 ; BE : -2 ;
ACIDOSIS
7,35
45
pH
ALKALOSI
S
7,45 7,50
PaCO2 35
-2
BE
+2
22
HCO3
26
30
pH : 7,55 ; PaCO2 : 30 ; BE : +5 ;
ACIDOSIS
7,35
45
pH
ALKALOSI
S
7,45 7,55
PaCO2 35
-2
BE
+2
22
HCO3
26
30
+5
Determination of the
primary problem
pH 7.40-7.45
Alkalosis is primary
Acidosis is compensatory
pH 7.35-7.40
Acidosis is primary,
Alkalosis is compensatory
Classification of degree of
Compensation
pH
Degree of compensation
7.35-7.45
Complete
<7.35
Partial
>7.45
Partial
pH : 7,48 ; PaCO2 : 30 ; BE : -6 ;
ACIDOSIS
7,35
45
-6
pH
ALKALOSI
S
7,45 7,48
PaCO2 35
-2
BE
+2
22
HCO3
26
30
pH
7,45
45
PaCO2
35
-2
BE
+2
22
HCO3
26
7.32 7,35
-10
ALKALOSI
S
30
pH
7,35 7,38
-10
ALKALOSI
S
7,45
45
PaCO2
35
-2
BE
+2
22
HCO3
26
30
pH : 7,43 ; PaCO2 : 30 ; BE : -6 ;
ACIDOSIS
7,35
-6
ALKALOSI
S
pH7,43 7,45
45
PaCO2
-2
BE
+2
22
HCO3
26
35
30
CLASSIFICATION of PaO2
PaO2 (mmHg)
CLASSIFICATION
Adult
Newborn
Hyperoxemia
>100
>90
Normoxemia
80-100
60-90
Mild hypoxemia
60-79
50-59
Moderate
hypoxemia
45-59
40-49
<45
<40
Severe hypoxemia
Degree of
Impairment
Severe Acidosis
Moderate
Acidosis
Mild Acidosis
Normal pH
Mild Alkalosis
Moderate
Values
pH
7,35-7,45
PaCO2
35-45 mmHg
PaO2
80-100 mmHg
SaO2
98-100%
Parameter
Values
pH
7,38
PaCO2
48 mmHg
PaO2
40 mmHg
SaO2
75%
No.
pH
PaCO2
HCO3
PaO2
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
7,58
7,44
7,21
7.44
7,60
7,50
7,41
7,52
7,44
7,44
20
52
66
31
28
50
42
41
28
35
19
34
26
20
27
37
25
32
35
23
63
28
47
111
59
75
229
49
87
97
Classification
No.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
pH
7.32
7.52
7.36
7.42
7.20
7.20
7.55
7.34
7.37
7.40
PaCO2
30
34
32
30
50
80
25
30
56
38
BE
-10
+4
-4
-5
-9
+2
0
-9
+4
-2
PaO2
58
32
145
90
60
90
72
41
57
350
Classification
Terima Kasih