ABG Calculatorscalculators generalExpected secondary responsesCalculates the expected secondary responses in paCO2 and HCO3- based on this paperpaCO2 Reference: 36 – 44HCO3- Reference: 22 – 26Primary changeSecondary reactionMetabolic acidosisExpected paCO2 of 40.00 mmHg40 − [(24 − HCO3-) × 1.2]Metabolic alkalosisExpected paCO2 of 40.00 mmHg40 + [(HCO3- − 24) × 0.7]Acute respiratory acidosisExpected HCO3- of 24.00 mmHg24 + [(paCO2 − 40) × 0.1]Chronic respiratory acidosisExpected HCO3- of 24.00 mmHg24 + [(paCO2 − 40) × 0.35]Acute respiratory alkalosisExpected HCO3- of 24.00 mmHg24 − [(40 − paCO2) × 0.2]Chronic respiratory alkalosisExpected HCO3- of 24.00 mmHg24 − [(40 − paCO2) × 0.4]GapsCalculates the anionic gap and delta-ratioHCO3- Reference: 22 – 26Cl- Reference: 98 – 106Na+ Reference: 136 – 146Anionic gap Na+ - (Cl- + HCO3-)Delta-Ratio (AG - 12)/(24 - HCO3-)