ABGs Flashcards

1
Q

arterial blood gas analysis

A

measurement of PH, partial pressure of oxygen and carbon dioxide in arterial blood

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

T/F gas move from High partial pressure to Low

A

true

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

whats Paco2 controlled by

A

ventilation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

whats Po2 measure

A

free unbound 02 molecules

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

amount of 02 in blood depends on

A

Hb concentration
saturation of Hb with 02
carrying capacity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

whats the driving force for saturating Hb with 02

A

Po2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what dictates Pa02

A

alveolar ventilation
ventilation/ perfusion
Fi02 (oxygen therapy)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

the law of conservation of matter

A

equilibrium maintained

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what systems work together to maintain ph within normal limits

A

renal and respiratory

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

why PT care about resp

A
establish diagnosis
monster treatment (pharm, oxygen, pT)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

how to measure ph

A

radial brachial femoral artery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

normal range Ph

A

7.35-3.45

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

normal range Pac02

A

35-45 mm Hg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

normal range Hc03

A

22-28 mEq/l

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what are we analyzing for

A

metabolic alkalosis, acidosis
respiratory alkalosis, acidosis

uncompenseated and compensated for all

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

order of analysis for uncompensated ABG

A

Ph, Paco2, Hco3

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

acidosis

A

lower than 7.35

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

alkalosis

A

higher than 7.45

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

whats step 1 in ABG

A

look at PH, is it acidosis or alkalosis or normal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

2nd step in analysis ABG

A

look at pac02

21
Q

what if step two is not normal

A

its respiratory

22
Q

step three is what

A

look at hc03

23
Q

what is step two is normal but 3 is not

A

metabolic

24
Q

deciding if uncompensated

A

do values
go same direction PH
opposite
normal

25
Q

uncompensated Respiratory acidosis
Ph
Paco2
Hc03

A

down
up
normal

26
Q

uncompensated Respiratory alk
Ph
Paco2
Hc03

A

up
down
normal

27
Q

uncompensated metabolic acidosis
Ph
Paco2
Hc03

A

down
norla
down

28
Q

uncompensated metabolic alk
Ph
Paco2
Hc03

A

up
normal
up

29
Q

how long does respiratory compensation take

A

minutes to ours

30
Q

how long does renal compensation take

A

1-5 dats

31
Q

compensated Respiratory acidosis
Ph
Paco2
Hc03

A

down
up
up

32
Q

compensated Respiratory alk
Ph
Paco2
Hc03

A

up
down
down

33
Q
compensated 
metabolic acidosis 
Ph 
Paco2
Hc03
A

down down down

34
Q
compensated 
metabolic alk 
Ph 
Paco2
Hc03
A

up up up

35
Q

mixed disorder

A

+1 primary acid base disorder

36
Q

interpret metablic acidosis

A

keto, posion, renal failure

37
Q

interpret metablic ack

A

sodium overloud, K depleted, vomtting, conns

38
Q

interpret resp ack

A

hyperventilation

pain anxiety fever

39
Q

interpret resp acid

A

hypoventilation

COPD, sleep apnea

40
Q

causes of impaired oxygenation

A
less inspiration 
alveolar hypoventilation 
diffusion impairemtn
shunt
ventilation / perfusion mismatch
41
Q

alveolar hypoventailtion rule of thumb

A

Pa02 should only decrease 1 for every 1 Pac02 increase

42
Q

major mechanism for hypoxemia

A

hypoventilation

43
Q

how we treat respiratory acidosis

A

hypoventilation (sputum)

44
Q

how we treat respiratory alk

A

hyperventatilion

oxygen therapy

45
Q

2 ways to analyze a mixed disorder

A

chart

clinical relevance

46
Q

define pa02

A

partial pressure of oxygen in arterial blood

47
Q

define sa02

A

oxygen saturation in arterial blood

48
Q

define sp02

A

measured using oximeter