Arterial Blood Gasses Flashcards

1
Q

Why are arterial blood gasses collected?

A

to evaluate acid-base status, ventilation, and oxygenation of arterial blood.

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2
Q

What readings would give the person reading the ABG report an idea on how well the lungs are oxygenating the blood?

A

The partial pressure of oxygen (Pa02) in arterial blood and oxygen saturation levels (Sa02)

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3
Q

What readings would give you an idea on well the lungs are getting rid of carbon dioxide?

A

partial pressure of carbon dioxide in arterial blood (PaCO2)

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4
Q

Why is bicarbonate usually assess in ABG reports?

A

It is an important component of the chemical buffering system that keeps the blood from becoming too acidic or basic

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5
Q

How are ABG levels usually ordered in a report?

A

pH-PaCO2-PaO2-HCO3-

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6
Q

What is the mean range for pH levels in a regular healthy adult’s ABG report?

What conditions arise if the pH is elevate or decreased?

A

Mean Range: 7.35-7.45

Elevated- Alkalemia (pH over 7.45)
Decreased- Acidemia (pH under 7.35)

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7
Q

What is the mean range for PaCO2 levels in a regular healthy adult’s ABG report?

What conditions arise if the PaCO2 is elevate or decreased?

A

Mean Range: 35-45 mm Hg (Eucapnia)

Elevated: Hypercapnia (PaCO@ higher than 45 mm Hg)
Decreased: Hypocapnia (PaCO2 lower than 35 mm Hg)

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8
Q

What is the mean range for PaO2 levels in a regular healthy adult’s ABG report?

What conditions arise if the PaO2 is elevate or decreased?

A

Mean Range: 80-100 mm Hg

Mostly there is only a problem with low levels of O2 in the blood, this condition is called hypoxemia

Mild hypoxemia: PaO2 60-79 mm Hg
Moderate hypoxemia: PaO2 40-59 mm Hg
Severe hypoxemia: PaO2 under 40 mm Hg

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9
Q

What is hypoxemia?

A

low level of O2 in tissues despite adequate perfusion of the tissues

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10
Q

What is the mean range for HCO3- levels in a regular healthy adult’s ABG report?

A

22-26 mEq/L

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11
Q

What is the mean range for O2 saturation (SaO2) levels in a regular healthy adult?

A

95-98%

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12
Q

If a patient has a PaCO2 level over 45 mm Hg and their pH level is over 7.4 what would be indicated?

A

body is retaining CO2 to compensate for metabolic alkalosis

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13
Q

A patient has the following ABG levels:

PaCO2 < 35 mm HG
pH > 7.4

What would these levels indicate?

A

respiratory alkalosis

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14
Q

A patient has the following ABG levels:

PaCO2 < 35 mm HG
pH < 7.4

What would these levels indicate?

A

body is eliminating CO2 to compensate for metabolic acidosis

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15
Q

A patient has the following ABG levels:

HCO3- < 22 mEq/L
pH > 7.4

What would these levels indicate?

A

renal compensation for respiratory alkalosis

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16
Q

A patient has the following ABG levels:

HCO3- < 22 mEq/L
pH < 7.4

What would these levels indicate?

A

metabolic acidosis

17
Q

A patient has the following ABG levels:

HCO3- > 26 mEq/L
pH > 7.4

What would these levels indicate?

A

metabolic alkalosis

18
Q

A patient has the following ABG levels:

HCO3- > 26 mEq/L
pH < 7.4

What would these levels indicate?

A

renal compensation for respiratory acidosis