Weill Cornell Medicine Care Discover Teach

Alveolar Gas Equation

All calculations should be independently verified prior to clinical use. These calculators are intended to supplement, not replace, clinical judgment.

Calculate the partial pressure of oxygen in the alveoli (PAO2) given FiO2, PaCO2, atmospheric pressure, and respiratory quotient. Use the helper below to determine atmospheric pressure from elevation or city.

%
torr
torr

torr

Determine Atmospheric Pressure

Atmospheric pressure = torr

The alveolar gas equation calculates the partial pressure of oxygen in the alveoli:

PAO2 = ( FiO2 × (Patmos − PH2O) ) − ( PaCO2 / RQ )

FiO2 is the fraction of inspired oxygen, entered here as a percentage (21% for room air, 100% for pure O2). Patmos is the ambient atmospheric pressure — 760 torr at sea level. PH2O is water vapor pressure at 37°C, equal to 47 torr. The respiratory quotient (RQ) is the ratio of CO2 eliminated to O2 consumed; it is typically 0.8 but can range from 0.7 to 1.0.

Atmospheric pressure decreases with elevation and is estimated here using:

Patmos = 760 × e−elevation (ft) / 27200

The alveolar gas equation is most commonly used to calculate the alveolar-arterial gradient. See the A-a Gradient calculator.

References

  1. West JB. Respiratory Physiology: The Essentials. 9th ed. Lippincott Williams & Wilkins; 2012.
  2. Weinberger SE, Cockrill BA, Mandel J. Principles of Pulmonary Medicine. 7th ed. Elsevier; 2019.
  3. Levitzky MG. Pulmonary Physiology. 9th ed. McGraw-Hill Education; 2018.