ABG Flashcards

1
Q

Normal pH level ?

A

7.35 - 7.45

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2
Q

Normal PaCO2

A

35 - 45

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3
Q

HCO3

A

22 - 26 mmHG

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4
Q

PaO2

A

80 - 100

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5
Q

SaO2

A

95% or greater

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6
Q

Respiration is stimulated by ____? And controlled by the amount of ______ in the blood stream ?

A

Respiration is stimulated by carbon dioxide and controlled by the amount of PCo2 in the blood steam

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7
Q

Low in PaCO2 is ________ ?

A

Hypoxemia

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8
Q

What is PaCO2 ?

A

Pressure exerted by oxygen dissolved in plasma of arterial blood

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9
Q

What is SaO2

A

Percentage of hemoglobin saturated or combined with oxygen

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10
Q

What is pCO2 ?

A

Partial pressure of carbon dioxide ; Buffered by lungs

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11
Q

What is HCO3 ?

A

Buffered by kidneys ; Bicarbonate is the BODY’S BASE

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12
Q

High in PaO2 is ________ ?

A

Hyperoxia

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13
Q

Low in PCO2 is ________ ?

A

Hypocarbia or Hypocapnia

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14
Q

High PCO2 is called _________ ?

A

Hypercarbia or Hypercapnia

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15
Q

If less than 7.35 is it acidosis or alkalosis ?

A

Acidosis

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16
Q

If greater than 7.45 there is _____________ ?

A

Alkalosis

17
Q

How to read ABGs ?

A
  1. Look for pH
  2. Look at the PaCO2
  3. Look at the HCO3
  4. Evaluate the degree of compensation or correction
  5. Evaluate the ABG for a mixed acid - base disorder
18
Q

PaCO2 increased with acidosis

A

Respiratory acidosis

19
Q

PaCO2 is decreased with a decrease in pH

A

Metabolic acidosis

20
Q

If PaCO2 is decreased with alkalosis

A

Respiratory alkalosis

21
Q

PaCO2 is increased with alkalosis

A

Metabolic alkalosis

22
Q

PaCO2 is 35 - 45 with a normal pH

A

No acid- base disorder or there are two disorders moving the PaCO2 in the opposite directions

23
Q

HCO3 is increased with alkalosis

A

Metabolic alkalosis

24
Q

HCO3 is decreased with acidosis

A

Metabolic acidosis

25
Q

Causes of respiratory acidosis ( Retained CO2 due to hypoventilation)

A

CNS depression caused by narcotics, sedatives, cardiac arrest, drug overdose, atelectasis, pneumothorax, emphysema, pulmonary embolism, ARDS

26
Q

Causes of respiratory alkalosis (excessive CO2 due to hyperventilation)

A

Anxiety, panic attack, fever, hypoxia, pulmonary disorders, and excess assisted ventilation

27
Q

Causes of metabolic acidosis

A

DKA, starvation, salicylates ( aspirin ), iron and INH overdose, alcohol intoxication, persistent diarrhea, uremia ( renal failure), sepsis, lactic acidosis, shock, respiratory or cardiac arrest

28
Q

Causes of metabolic alkalosis

A

Persistent vomiting, gastric suctioning, hypokalemia, excess alkali sodium bicarbonate, carbonated drinks, intestinal fistula, mild diarrhea

29
Q

MNEUMONIC FOR METABOLIC ACIDOSIS

A

Diabetic ketoacidosis (DKA)

Alcohol intoxication

Renal failure

Lactic acidosis

Iron poisoning

No food (starvation)

Generalized seizures

Sepsis

Aspirin (salicylate poisoning)

Rhabdomyolysis

Ethylene glycol (automatic antifreeze and hydraulic brake fluid)

INH (Isoniazid)

Methanol (methyl alcohol and wood alcohol)

Paraldehyde (hypnotic and sedative)

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30
Q

Hypocapnia

A

REDUCED O2 IN BLOOD

31
Q

HYPERCAPNIA

A

INCREASED O2 IN THE BLOOD