3 - Diagnostics: ABG Flashcards
ABG three components
pH = 7.4
PaCO2 = 40
PaO2 = 100
Always give ABG in what order
pH > PCO2 > PO2
Allens test
Occlude radial and ulnar arteries to check for perfusion
Shortened HH equation
pH (proportional to) HCO3/PaCO2
In acute, For every rise of 10 in pCO2
pH drops by .08
Chronic resp.
PaCO2 increase by 10
pH decreases by .03
Room air FiO2
21%
PaO2
Dissolved arterial oxygen
spO2
Oxygen saturation (on Hb)
SaO2
saturation via chem lab (instead of finger probe)
PiO2
Pressure inspired oxygen in trachea
Alveolar oxygen - arterial oxygen
A-a gradient
A-a gradient eq
PiO2 - (PaCO2) - PaO2
Normal A-a gradient
Age/4 + 4
SpO2 vs PaO2 curve
Sigmoidal bc of positive cooperativity of hemoglobin
Left shifting things
Alkalosis
Hypothermia
Low PCO2
Low 2,3DPG
CO poisoning
Expected PaO2 should be roughly
5x your FiO2
Wht happens as seeverity of diffusion impairment increases
The ratio of PaO2 to FiO2 decreases
SG cath try to get where?
zone 3, best representation of ___
Increasing FiO2 does not..
fully correct hypoxia caused by pure shunt