PFT Flashcards
tmc
a test done before the ABG punter used to asses for collateral circulation
modified allens test
steps of a modified allens test
1) have pt make a fist
2) obstruct both the radial and ulnar arteries by applying pressure with your thumb
3) have a patient open their hands and hand will turn white
4) release pressure from ulnar artery
- hand should pink up in 1-2 seconds
- if not collateral circulation isn’t good
- use another site
never attempt to puncture an after on a patient with what t type of shunt?
dialysis shunt
hazards of an ABG
blood vessel trauma, hematoma, arterial clot formation, arteriospasm, and infected puncture site
heel sticks are used to obtain bag samples in infants this si called what?
capillary samples
how long do you wrap the site for a cap stick?
5-7 mins
what do you clean the heel with before chopstick?
alcohol
what do you use for puncture of a cap stick?
lancet
results of a cap still correlate with what?
ph and paco2
for accurate readings from an Aline the transducer should be placed at the mid chest. if it is too low the readings will be ___ and if it is too high the readings will be falsely ____
falsely high, falsely low
aline steps
1) withdrawal 3-5 ml of fluid from the catheter for the waste solution
2) attach the ABG syringe and collect sample
3) return the waster solution to the patient
4) close stopcock and flush the catheter tubing
which electrode measures ph?
sanz
which electrode measures po2?
clark
which electrode measures pco2?
severinghause
used to analyze data. it uses 2 standard deviation range and the values should remain with the 2 standard deviations of the mean
levey jennings charts
all the values are within the two standard deviation range
in control
only one value falls outside the tw o standard deviation range
random
values are progressively increasing or decreasing but they all still fall within normal range
trend
the plotted points are all within range, however the mean has shifted primarily towards one side
shift
a thread that moves outside of the standard deviation range this indicates that the electrode needs to replaced or recalibrate
out of control
cao2 range
17-20% vol
cvo2 range
12-16%