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What Is Compensated Respiratory Acidosis?

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Uncompensated, Partially Compensated, Or Combined Abg Problems

Arterial Blood Gas (ABG) analysis requires in-depth expertise. If the results are not understood right, or are wrongly interpreted, it can result in wrong diagnosis and end up in an inappropriate management of the patient. ABG analysis is carried out when the patient is dealing with the following conditions: • Breathing problems • Lung diseases (asthma, cystic fibrosis, COPD) • Heart failure • Kidney failure ABG reports help in answering the following questions: 1. Is there acidosis or alkalosis? 2. If acidosis is present, whether it is in an uncompensated state, partially compensated state, or in fully compensated state? 3. Whether acidosis is respiratory or metabolic? ABG reports provide the following descriptions: PaCO2 (partial pressure of dissolved CO2 in the blood) and PaO2 (partial pressure of dissolved O2 in the blood) describe the efficiency of exchange of gas in the alveolar level into the blood. Any change in these levels causes changes in the pH. HCO3 (bicarbonate in the blood) maintains the pH of the blood within normal range by compensatory mechanisms, which is either by retaining or increasing HCO3 excretion by the kidney. When PaCO2 increases, HCO3 decreases Continue reading >>

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Popular Questions

  1. hkcool

    Got a quick call today from my doctor since I had a routine physical and got bloodwork and urine tests done.
    He said everything was normal except for really low vitamin D levels and oddly enough, ketones in my urine. He explained that typically it's a sign of uncontrolled diabetes but my blood sugar is fine. He ordered an a1c done at the time that I got all of my bloodwork done just to be thorough. I don't have the results in front of me but I could request a hard copy of them. Anyway, he assured me that I'm not diabetic.
    I'm a 20 y/o college student.
    Is ketones in the urine a precursor to diabetes? I did read that fasting or starvation can lead to temporary high ketone levels. As a full-time college student, let's just say that my sleeping schedule is rather...irregular. I had to fast for the blood test that morning so my last meal was dinner that evening. I didn't sleep until 7 am that morning and my appointment was at 9 am, so...yeah...
    The doctor said the next step would be a 24 hr urine test since they double-checked my results to make sure I actually had ketones in my urine and I did. But he also said there's no rush at all. I can't get the test till I'm actually back home so I'm just wondering now what it could be

  2. labrat

    Did you know the volume of ketones in your urine? Was it slight or high?
    Slight to moderate ketones can occur with exercise. Did you work out or do some strenuous physical activity before your appointment?
    People on low carbohydrate diets go into ketosis (usually preferably). These are things to consider if your testing does rule out Diabetes.
    Plus, this was a one time test. Without other symptoms or clinical presentations to preclude a diagnosis, it may be easier to simply repeat a urine sample next time, too. Shouldn't need to be a fasting sample, either.

  3. sweetthing

    Most likely caused by dehydration. Young people often do not get enough to drink. I would just make sure you have lots of water before your next test. You said you had been fasting since supper the night before? If you were a bit dry then and didn't drink anything, you could very easily have been dehydrated.

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