ABGs Flashcards
arterial blood gas analysis
measurement of PH, partial pressure of oxygen and carbon dioxide in arterial blood
T/F gas move from High partial pressure to Low
true
whats Paco2 controlled by
ventilation
whats Po2 measure
free unbound 02 molecules
amount of 02 in blood depends on
Hb concentration
saturation of Hb with 02
carrying capacity
whats the driving force for saturating Hb with 02
Po2
what dictates Pa02
alveolar ventilation
ventilation/ perfusion
Fi02 (oxygen therapy)
the law of conservation of matter
equilibrium maintained
what systems work together to maintain ph within normal limits
renal and respiratory
why PT care about resp
establish diagnosis monster treatment (pharm, oxygen, pT)
how to measure ph
radial brachial femoral artery
normal range Ph
7.35-3.45
normal range Pac02
35-45 mm Hg
normal range Hc03
22-28 mEq/l
what are we analyzing for
metabolic alkalosis, acidosis
respiratory alkalosis, acidosis
uncompenseated and compensated for all
order of analysis for uncompensated ABG
Ph, Paco2, Hco3
acidosis
lower than 7.35
alkalosis
higher than 7.45
whats step 1 in ABG
look at PH, is it acidosis or alkalosis or normal
2nd step in analysis ABG
look at pac02
what if step two is not normal
its respiratory
step three is what
look at hc03
what is step two is normal but 3 is not
metabolic
deciding if uncompensated
do values
go same direction PH
opposite
normal
uncompensated Respiratory acidosis
Ph
Paco2
Hc03
down
up
normal
uncompensated Respiratory alk
Ph
Paco2
Hc03
up
down
normal
uncompensated metabolic acidosis
Ph
Paco2
Hc03
down
norla
down
uncompensated metabolic alk
Ph
Paco2
Hc03
up
normal
up
how long does respiratory compensation take
minutes to ours
how long does renal compensation take
1-5 dats
compensated Respiratory acidosis
Ph
Paco2
Hc03
down
up
up
compensated Respiratory alk
Ph
Paco2
Hc03
up
down
down
compensated metabolic acidosis Ph Paco2 Hc03
down down down
compensated metabolic alk Ph Paco2 Hc03
up up up
mixed disorder
+1 primary acid base disorder
interpret metablic acidosis
keto, posion, renal failure
interpret metablic ack
sodium overloud, K depleted, vomtting, conns
interpret resp ack
hyperventilation
pain anxiety fever
interpret resp acid
hypoventilation
COPD, sleep apnea
causes of impaired oxygenation
less inspiration alveolar hypoventilation diffusion impairemtn shunt ventilation / perfusion mismatch
alveolar hypoventailtion rule of thumb
Pa02 should only decrease 1 for every 1 Pac02 increase
major mechanism for hypoxemia
hypoventilation
how we treat respiratory acidosis
hypoventilation (sputum)
how we treat respiratory alk
hyperventatilion
oxygen therapy
2 ways to analyze a mixed disorder
chart
clinical relevance
define pa02
partial pressure of oxygen in arterial blood
define sa02
oxygen saturation in arterial blood
define sp02
measured using oximeter