Cookie Consent
ABG Tutor, Tic-Tac-Toe Interpretation
Medical Education Tool

ABG Tutor / Tic-Tac-Toe

Arterial blood gas interpretation and compensation recognition

Interactive Practice
Practice Controls
Disabled
Case ABG Values
pH
 
PaCO2
mmHg
HCO3-
mEq/L
PaO2
mmHg
Press Generate Case to begin a new ABG scenario.
Normal Reference Ranges
pH7.35 to 7.45
PaCO235 to 45 mmHg
HCO3-22 to 26 mEq/L
PaO280 to 100 mmHg
Compensation Formulas
Metabolic AcidosisWinter's: PaCO2 = 1.5 × HCO3- + 8 ±2
Metabolic AlkalosisPaCO2 = 0.7 × (HCO3- − 24) + 40 ±5
Resp AcidosisHCO3- ↑ 3.5 per 10 mmHg CO2 (chronic)
Resp AlkalosisHCO3- ↓ 5 per 10 mmHg CO2 (chronic)
Classification Grid

Click each cell to classify the value as Acidic, Normal, or Alkaline.

Acidic Normal Alkaline
pH
< 7.35
7.35 to 7.45
> 7.45
PaCO2
> 45
35 to 45
< 35
HCO3-
< 22
22 to 26
> 26

Note: For PaCO2, elevated is acidic and decreased is alkaline (inverse of pH direction).

Your Interpretation