ABG Flashcards
One of the most commonly used tests to measure oxygenation and blood acid levels, two important measures of a patient’s clinical status and correct interpretation can lead to quicker and more accurate changes in the plan of care
Arterial Blood Gases (ABG)
A blood test that measures the acidity, or pH, and the levels of oxygen (O2) and carbon dioxide (CO2) from an artery.
ABG
The test used to check the function of the patient’s lungs and how well they are able to move oxygen into the blood and remove carbon dioxide.
ABG
measure the dissolved oxygen and carbon dioxide in the arterial blood.
ABG
Test performed to ensure the hand has adequate collateral blood flow
Allen’s Test
Normal Value of pH
7.35 - 7.45
> 7.45
Alkalemia
<7.35
Acidemia
Normal value of PaO2
80-100 mmHg
> 100 mmHg
Hyperoxia
<80 mmHg
Hypoxemia
Normal percentage of SaO2
96-100%
Normal value of PaCO2
35-45 mmHg
> 45 mmHg
Hypercapnia
<35
Hypocapnia
Partial pressure of carbon dioxide dissolved in blood
PaCO2
Percentage of O2 bound to hemoglobin
SaO2
Parameter for SaO2 and PaCO2
Ventilation
Parameter for pH
Acid-Base balance
Parameter for PaO2
Oxygenation
Partial pressure of dissolved O2 in blood
PaO2
Hydrogen ion concentration
pH
Indicates the amount of oxygen available to bind with hemoglobin
PaO2
<40 mmHg
Life threatening and requires immediate action
Mean of pH
7.40
If <7.40 but not <7.35
Acid side of the mean
If >7.40 but not >7.45
Alkaline side of the mean
<7..35: acidemia
Acidosis
> 7.45: alkalemia
Alkalosis
Indicates whether the patient can ventilate well enough to rid the body of the carbon dioxide produced as a consequence of metabolism
PaCO2
> 45 mmHg: respiratory acidosis
Alveoli hypoventilation
> 45mmHg: respiratory acidosis results from:
C OPD
O versedation
H ead trauma
A nesthesia/drug overdose
N euromuscular impairment
I nadequate ventilation with mechanical ventilator
<35mmHg: respiratory alkalosis results from:
H ypoxia
A nxiety
P ulmonary embolism
P regnancy
O ver ventilation with mech vent
C ompensatory mechanism to metabolic acidosis
- Acid-base components that reflects kidney function
- reduced or increased in the plasma by renal mechanism
HCO3
<22mEq/L
Metabolic acidosis
> 26mEq/L
Metabolic alkalosis
Normal value of HCO3
22-26mEq/L
Metabic acidosis results from
K etoacidosis
L actic acidosis
R enal failure
D iarrhea
Metabolic alkalosis results from
F luid loss from UGIT
D iuretic therapy
S evere hypokalemia
A lkali administration
S teroid therapy
Goals of ABG Analysis
With the given values, we need to determine if the interpretation is:
- Acidosis / Alkalosis
- Metabolic / Respiratory
- Fully Compensated / Partially Compensated / Uncompensated
The best and fun way in interpreting ABG is __.
Tic tac toe method
Fully Compensated if…
pH is normal
Partially Compensated if…
All three values are abnormal
Uncompensated if…
PaCO2 or HCO3 is normal and the other is abnormal