Understanding Lab Tests for Respiratory Acidosis

Written by Private MD Labs Medical Writing Team • Last Updated: September 8, 2025

Respiratory acidosis is a serious acid-base disorder that occurs when the lungs cannot effectively remove carbon dioxide from the body, leading to elevated CO2 levels in the blood and increased acidity. This condition can result from various causes including lung diseases, respiratory muscle weakness, or central nervous system depression from medications.

Top Recommended Test

Carbon Dioxide

This is the primary diagnostic test for respiratory acidosis. It directly measures carbon dioxide levels in the blood, which become elevated when the lungs cannot effectively remove CO2 from the body. Elevated CO2 levels are the hallmark of respiratory acidosis and confirm the diagnosis.

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How Blood Tests Diagnose Respiratory Acidosis

Blood tests are the primary method for diagnosing respiratory acidosis. These tests measure carbon dioxide levels and evaluate the body's electrolyte balance to confirm the diagnosis and assess the severity of the acid-base imbalance. Early detection through laboratory testing is crucial for proper treatment.

Other Relevant Tests

Anion Gap Panel (Electrolyte Balance)

This comprehensive panel evaluates the body's electrolyte balance and acid-base status. It helps assess the overall impact of respiratory acidosis on the body's chemistry and can detect compensatory mechanisms or concurrent electrolyte imbalances that may complicate the condition.

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Understanding Your Results

In respiratory acidosis, blood carbon dioxide levels will be elevated above normal ranges, typically accompanied by changes in blood pH and bicarbonate levels. The anion gap panel provides additional information about how the body is compensating for the acid-base imbalance and whether other electrolyte disturbances are present.

Important Considerations

The information provided here is for educational purposes only and is not a substitute for professional medical advice. Respiratory acidosis is a serious condition that requires immediate medical attention. Always consult with a healthcare provider for proper diagnosis, interpretation of test results, and treatment.

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