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ABG Tic-Tac-Toe Cheat Sheet 👇 pH = boss. Under 7.35 = acid. Over 7.45 = base. If it’s “normal,” it still leans. 7.35–7.39 is acid-ish. 7.41–7.45 is base-ish. CO2 is ACID. High CO2 = respiratory acidosis. Low CO2 = respiratory alkalosis. HCO3 is BASE. Low bicarb = metabolic acidosis. High bicarb = metabolic alkalosis. Driver rule: pH matches CO2? Respiratory. pH matches HCO3? Metabolic. Compensation rule: pH fixed back to normal = fully compensated. pH still off but CO2 and HCO3 both moved = par
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