Thursday, June 16, 2011

Blood test explanation - Acid-base and blood gases

Acid-base and blood gases
If arterial/venous is not specified for a acid-base or blood gas value, then it generally refers to arterial, and not venous which otherwise is standard for other blood tests.
Acid-base and blood gases are among the few blood constituents that exhibit substantial difference between arterial and venous values.[4] Still, pH, bicarbonate and base excess show a high level of inter-method reliability between arterial and venous tests, so arterial and venous values are roughly equivalent for these.[35]
Test
Arterial/Venous
Lower limit
Upper limit
Unit
Comments
Arterial
7.34,[7] 7.35[6]
7.44,[7] 7.45[6]


Venous
7.31[36]
7.41[36]


[H+]
Arterial
36[6]
44[6]
nmol/L

3.6[37]
4.4[37]
ng/dL

Arterial & venous[36]
mEq/L

oxygen pressure (pO2)
Arterial
10,[6] 11[38]
13,[38] 14[6]
kPa

100,[7] 105[6]

Venous
4.0[38]
5.3[38]
kPa

mmHg or torr

Arterial
94,[36] 95,[10] 96[15]
 %

Venous
Approximately 75[10]

Arterial
4.4,[6] 4.7[38]
5.9,[6] 6.0[38]
kPa
Designated pCO2
33,[6] 35[7]
44,[6] 45[7]
mmHg or torr
mmol/L

100[39]
132[39]
mg/dL

Venous
5.5[38]
6.8[38]
kPa

mmHg or torr

Bicarbonate (HCO3, )
Arterial & venous
mmol/L

110[40]
140[40]
mg/dL

Arterial & venous
21, 22[6]
27, 28[6]
mmol/L or mEq/L[6]

134[40]
170[40]
mg/dL