# Arterial Blood Gas
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An **arterial blood gas** or **ABG** lab is a reading of the respiratory gases in the blood, and is used to test [[acid-base balance|blood pH]] and acidosis or alkalosis.
>[!science] Normal Values
>The normal value of ABGs are:
>
>- For pH, the normal range is **7.35 to 7.45**
>- For PaCO2, the normal range is **35 to 45 mmHg (respiratory determinant)**
>- For PaO2, the normal range is **75 to 100 mmHg**
>- For HCO3, the normal range is **22 to 26 mEq/L (metabolic determinant)**
![[acidosis and alkalosis.png]]
- [[Acidosis]]: This means the [[acid-base balance|blood pH]] is below 7.35, which can either come from:
- retaining too much CO2: [[acidosis#Respiratory Acidosis|respiratory acidosis]]
- not making enough (or loosing too much) bicarbonate: [[acidosis#Metabolic Acidosis|metabolic acidosis]]
## Compensation
When the body senses our ABGs are out of balance, it **compensates**, or at least tries to. It does this between two major pathways, the kidneys making or excreting bicarb (a base), and the lungs expelling or retaining CO2 (an acid)
- pH normal?
- CO2/HCO3 normal => Normal
- CO2/HCO3 abnormal => fully compensated
- One is causing the problem, the other is fixing it
- pH off?
- CO2/HCO3 are off
- if one is also off => partially compensated
- is the other one normal => not compensated
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