CONTOH INTERPRETASI ASAM BASA
INTERPRETASI ASAM BASA 1
Nama : Ny “K”
No. CM : 136712
Diagnosa Medis : Pneumonia, CHF, Stroke
Tanggal Pemeriksaan BGA : 8
Februari 2012
Analisis Asam Basa Menurut
Handerson Hasselbach :
No.
|
Kriteria
|
Hasil
|
Nilai
Normal
|
Satuan
|
Interpretasi
|
|
37.0 0C
|
36.0 0C
|
|||||
1
|
pH
|
7,30
|
7,31
|
7,35 – 7, 45
|
|
↓
|
2
|
pCO2
|
50
|
48
|
35 – 45
|
mmHg
|
↑
|
3
|
pO2
|
65
|
61
|
80 – 100
|
mmHg
|
↓
|
4
|
Base Excess
|
-2,7
|
-2 s/d +2
|
mmol/ L
|
N
|
|
5
|
HCO3
|
24,2
|
22 – 26
|
mmol/ L
|
N
|
Kesan
: Asidosis Respiratorik Akut
INTERPRETASI ASAM BASA
2
Nama : Ny “K”
No. CM : 716131
Diagnosa Medis : CKD (Chronic Kidney Diseases)
Tanggal Pemeriksaan BGA : 1
Maret 2012
Analisis Asam Basa Menurut
Handerson Hasselbach :
No.
|
Kriteria
|
Hasil
|
Nilai Normal
|
Satuan
|
Interpretasi
|
Kesan
|
|
37.0 0C
|
36.5 0C
|
||||||
|
ACID/ BASE
|
|
|||||
1
|
pH
|
7.40
|
7.41
|
7.35
– 7.45
|
|
N
|
|
2
|
pCO2
|
36
|
35
|
35 – 45
|
mmHg
|
N
|
|
3
|
pO2
|
140
|
137
|
80
– 100
|
mmHg
|
↑
|
Hiperoksigenasi
|
4
|
Base Excess
|
-2.5
|
-2 s/d +2
|
mmol/ L
|
N
|
|
|
5
|
tCO2
|
23.1
|
22 – 27
|
mmol/ L
|
N
|
|
|
6
|
HCO3
|
22.0
|
22
– 26
|
mmol/ L
|
N
|
|
|
|
ELECTROLYTES
|
|
|||||
7
|
Na+
|
138
|
136 –
148
|
mmol/ L
|
N
|
|
|
8
|
K+
|
5.9
|
3.8 –
5.5
|
mmol/ L
|
↑
|
|
|
9
|
Ca++
|
0.66
|
1.10 – 1.30
|
mmol/ L
|
↓
|
|
|
|
HEMOGLOBIN/ OXYGEN STATUS
|
|
|||||
10
|
tHb
|
7.5
|
12 – 16
|
g/dL
|
↓
|
Anemia
|
|
11
|
SO2
|
98
|
|
%
|
N
|
|
|
12
|
AaDO2
|
26.7
|
|
30.6 mmHg
|
↑
|
|
|
13
|
O2Ct
|
10.6
|
|
Vol%
|
↓
|
|
Kesimpulan :
ACID/ BASE : Normal
INTERPRETASI ASAM BASA
3
Nama : Ny “D”
No. CM : 728489
Diagnosa Medis : Oedem Pulmo, CHF
Tanggal Pemeriksaan BGA : 7
Maret 2012
Analisis Asam Basa Menurut
Handerson Hasselbach :
No.
|
Kriteria
|
Hasil
|
Nilai Normal
|
Satuan
|
Interpretasi
|
Kesan
|
|
37.0 0C
|
36.0 0C
|
||||||
|
ACID/ BASE
|
|
|||||
1
|
pH
|
7.20
|
7.22
|
7.35
– 7.45
|
|
↓
|
Asidosis
|
2
|
pCO2
|
49
|
47
|
35 – 45
|
mmHg
|
↑
|
Asidosis
Respiratorik
|
3
|
pO2
|
165
|
159
|
80
– 100
|
mmHg
|
↑
|
Hiperoksigenasi
|
4
|
Base Excess
|
-8.8
|
-2 s/d +2
|
mmol/ L
|
↓
|
Asidosis
|
|
5
|
tCO2
|
20.2
|
22 – 27
|
mmol/ L
|
↓
|
|
|
6
|
HCO3
|
18.7
|
22
– 26
|
mmol/ L
|
↓
|
Asidosis
Metabolik
|
|
|
ELECTROLYTES
|
|
|||||
7
|
Na+
|
139
|
136 –
148
|
mmol/ L
|
N
|
|
|
8
|
K+
|
3.6
|
3.8 –
5.5
|
mmol/ L
|
↓
|
|
|
9
|
Ca++
|
0.55
|
1.10 – 1.30
|
mmol/ L
|
↓
|
Hipokalsemia
|
|
|
HEMOGLOBIN/ OXYGEN STATUS
|
|
|||||
10
|
tHb
|
8.9
|
12 – 16
|
g/dL
|
↓
|
Anemia
|
|
11
|
SO2
|
99
|
95 – 100
|
%
|
N
|
|
|
12
|
AaDO2
|
410.4
|
|
418.1 mmHg
|
|
|
|
13
|
O2Ct
|
12.8
|
15 – 23
|
Vol%
|
↓
|
|
Kesimpulan :
ACID/ BASE : Asidosis Respiratorik + Metabolik
INTERPRETASI ASAM BASA
4
Nama : Tn “R”
No. CM : 659555
Diagnosa Medis : CKD
Tanggal Pemeriksaan BGA : 12
Maret 2012
Analisis Asam Basa Menurut
Handerson Hasselbach :
No.
|
Kriteria
|
Hasil
|
Nilai Normal
|
Satuan
|
Interpretasi
|
Kesan
|
|
37.0 0C
|
37.3 0C
|
||||||
|
ACID/ BASE
|
|
|||||
1
|
pH
|
7.39
|
7.38
|
7.35
– 7.45
|
|
N
|
Normal
|
2
|
pCO2
|
31
|
32
|
35 – 45
|
mmHg
|
↓
|
Respiratorik
(kompensasi)
|
3
|
pO2
|
193
|
194
|
80
– 100
|
mmHg
|
↑
|
Hiperoksigenasi
|
4
|
Base Excess
|
-5.8
|
-2 s/d +2
|
mmol/ L
|
↓
|
Asidosis
|
|
5
|
tCO2
|
19.5
|
22 – 27
|
mmol/ L
|
↓
|
|
|
6
|
HCO3
|
18.5
|
22 – 26
|
mmol/ L
|
↓
|
Asidosis
Metabolik
|
|
|
ELECTROLYTES
|
|
|||||
7
|
Na+
|
127
|
136 –
148
|
mmol/ L
|
↓
|
Hiponatrenia
|
|
8
|
K+
|
7.3
|
3.8 –
5.5
|
mmol/ L
|
↑
|
Hiperkalemia
|
|
9
|
Ca++
|
0.68
|
1.10 – 1.30
|
mmol/ L
|
↓
|
Hipokalsemia
|
|
|
HEMOGLOBIN/ OXYGEN STATUS
|
|
|||||
10
|
tHb
|
7.9
|
14 – 18
|
g/dL
|
↓
|
Anemia
|
|
11
|
SO2
|
100
|
95 – 100
|
%
|
N
|
|
|
12
|
AaDO2
|
83.4
|
|
81.4mmHg
|
|
|
|
13
|
O2Ct
|
11.6
|
15 – 23
|
Vol%
|
↓
|
|
Kesimpulan :
ACID/ BASE : Asidosis Metabolik Terkompensasi Penuh