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What Do These Arterial Blood Gas Results Indicate?

Posted on Mon, 3 Aug 2015

Question: cam someone PLEASE answer this? Arterial blood gas results.. High total c02, high ph, High Hc03, high latic acid are these normal results to you?

Answered by Dr. Drkaushal85 (20 minutes later)

Brief Answer:
No, these are not normal values.

Detailed Answer:
Thanks for your question on Health Care Magic.
I can understand your concern.
No, these ABG values are not normal.
Patient is having metabolic alkalosis with respiratory compensation.
So patient needs treatment for this.
First we have to rule out technical errors like sampling errors.
Some times arterial sample is not from the artery and it is from vein. Than interpretation my very.
So better to consult good doctor and discuss about this report.
Hope I have solved your query.
I will be happy to help you further.
Wish you good health.
Thanks

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Drkaushal85 (14 minutes later)

They did arterial not vein.. He told me I wanted my body to be in metabolic alkalosis! how do I get help?

Answered by Dr. Drkaushal85 (10 minutes later)

Brief Answer:
Are you having a medical condition?

Detailed Answer:
Thanks for your follow up question on Health Care Magic.
Metabolic alkalosis is not seen in healthy individuals. So please let me know if you are having any medical condition.

I will be happy to help you further.
Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Drkaushal85 (9 minutes later)

Yes I can't breathe right for over a month and I'm diabetic I'm scared as I'm losing the baffle to breathe and can't get anyone to help me!

Answered by Dr. Drkaushal85 (3 minutes later)

Brief Answer:
Have you checked for ketone in urine?

Detailed Answer:
Thanks for your follow up question on Health Care Magic.
I can understand your concern.
Please let me know
1. Have you checked for ketones in urine?
2. Are your sugar levels under control?
3. Which drugs you are taking for diabetes?
Please reply me answers of above asked questions, so that I can guide you better.
I will be happy to help you further.
Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Drkaushal85 (6 minutes later)

I habe ketones in urine and my sugar has been high.. I went off the meds due to this breathing nightmare. . I truly can't understand why I'm being treated this way!

Answered by Dr. Drkaushal85 (6 minutes later)

Brief Answer:
You need urgent treatment.

Detailed Answer:
Thanks for your follow up question on Health Care Magic.
I can understand your concern.
High sugars, high lactic acid and ketones in urine are suggestive of diabetic ketoacidosis.
And diabetic ketoacidosis is an emergency. Patient needs urgent treatment in the form of intravenous fluids, intravenous insulin infusion, antibiotics etc.
For all these hospitalization is required.
Can you tell me exact values of your ABG report, so that I can tell you about severity of the disease.
Also let me know if you have serum acetone checked.
I will be happy to help you further.
Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Drkaushal85 (28 minutes later)

I have high ph high total c02 high base high hc03 high latic acid

Answered by Dr. Drkaushal85 (5 minutes later)

Brief Answer:
Are you having any respiratory disease?

Detailed Answer:
Thanks for your follow up question on Health Care Magic.
I know these values are high. But if you can provide me exact values of all these parameters than I can make out the severity of your disease.
Please let me know
1. Are you smoker?
2. Are you having any respiratory disease like bronchitis or asthma?
3. Are you having warm peripheries and inability to sleep at night?
Please reply me answers of above asked questions, so that I can guide you better.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Drkaushal85 (13 minutes later)

Allens test positive latic acid 2.5 02 sat 97 base excess 5.7 total c02 31.1 hco3 29.8 p02 90 pco2 40.5 ph 7.48

Answered by Dr. Drkaushal85 (12 minutes later)

Brief Answer:
Are you having any renal disease?

Detailed Answer:
Thanks for your follow up question on Health Care Magic.
Your total co2 is not high. It is low. It is actually compensation for metabolic alkalosis.
CO 2 is basically acidic in nature. So to compensate your high bicarbonate, body tries to lower carbon dioxide and for this patient has to breath fast. And so you are having breathlessness (high respiratory rate).
So your basic problem is metabolic alkalosis. Renal (kidney related) diseases are most common causes for alkalosis.
And uncontrolled diabetes also causes renal disease.
So please let me know
1. Are you having renal disease?
2. Have you checked for your renal function test?
3. How many times you go for urination in a day?
Please reply me answers of above asked questions, so that I can guide you better.
I will be happy to help you further.
Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Drkaushal85 (6 minutes later)

the loss of breath is endless.. it won't go away.. my palate in my mouth is turning yellow and my tounge is pitch white. I'm just very I'll feeling and I don't precast much like I used to. . but these stupid tests keep coming back normal except the one time it came back > 59 on gfr.. and still they ignored ir! same time I had large ketones and blood in urine! why do I keep getting denied admittance I don't understand my quality of life us diminished from this!

Answered by Dr. Drkaushal85 (15 minutes later)

Brief Answer:
You are definitely having renal disease due to diabetes.

Detailed Answer:
Thanks for your follow up question on Health Care Magic. I can understand your concern.
By your ABG report, high ketones and blood in urine suggest renal disease more.
And diabetic patients are known to have renal disease.
You are an ideal patient and medically needs treatment. I don't know why they are not giving you treatment.
These metabolic abnormalities must be corrected rapidly.
You are staying at which place? Which type of doctor you are consulting at present?
Please reply me answers of above asked questions, so that I can guide you better.
I will be happy to help you further. Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Drkaushal85 (14 minutes later)

but my gfr came back normal 2 days ago. . I go to a pcp.. He has let me down immencly.. they keep telling me to go to er after er if it continues but do nothing. . they also think because a pulse x shows a 97 oxygen rate I'm getting sufficenr oxygen and are claiming anxiety! I went through this year's ago when I first had lyme and it took me over a year to get diagnosed! I had white blood cells in my spinal fluid! I was treated once again like an anxiety attack victim! I don't know what amount of ketones I habe now but I've lost 22 pounds in 5 days.. my tounge is white I can't breathe and my palate is yellow! Idk what to do anymore!
The practice is in XXXXXXX Hills Michigan. If you can help me I'll give you my doctors name! I'm at a loss here

Answered by Dr. Drkaushal85 (7 minutes later)

Brief Answer:
You are having dehydration and related symptoms.

Detailed Answer:
Thanks for your follow up question on Health Care Magic.
I can understand your concern.
All these metabolic abnormalities cause dehydration. And dehydration is the culprit for all your symptoms. So better to drink plenty of fluids orally and keep yourself hydrated.
Strict control of diabetes is needed.
So please let me know
1. Are you drinking sufficient quantity of fluids?
2. What is your daily fluid intake?
3. Which drugs you were taking for diabetes?
4. In a day, how many times you go for urination?
Please reply me answers of above asked questions, so that I can guide you better.
I will be happy to help you further.
Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Shanthi.E