For interpretation if pH normal: 7.4 is the cut off and above would be basic deviation and below would be acidic deviation
Carbon dioxide: 35-45 mm Hg
HCO3 (bicarbonate): 22-26 mEq/L
ROME:
Respiratory= Opposite:
- pH is high, PCO2 is down (Alkalosis).
- pH is low, PCO2 is up (Acidosis).
Metabolic= Equal:
- pH is high, HCO3 is high (Alkalosis).
- pH is low, HCO3 is low (Acidosis).
So you match up what the alteration is with the pH and that is the cause (say the pH is 7.36 (acidic end of normal) and CO2 is 50 (high, acidic) so that’s respiratory acidosis and if the HCO3 is 28 (high, basic) it is compensating so the blood gas is a fully compensated respiratory acidosis. If pH was not normal, its only partially compensated and if the HCO3 was normal it is uncompensated.
The chart below is what I use: