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ABGS Unit 1
Phase II Block 3
| Question | Answer |
|---|---|
| What is the purpose for Arterial Blood Gas samples? | Measurement of pH, pCO2, pO2, NA, K, Ca++, Hb, HbCO, HbMet, O2Hb. |
| What are the results of ABG's used for? | Assess ventilator support, acid base balance, oxygenation and the oxygen carrying capacity of the blood, therapeutic intervention, or severity of a disease process. |
| What can an arterial puncture cause? | Vessel spasm, laceration of artery, intraluminal bleeding, hematoma, and nerve damage. |
| Peri-arterial tissues are insensitive to pain such as? | Muscle, tendon or fat |
| Peri-arterial tissues are sensitive to pain such as? | Bone periosteum or nerves |
| Site progression for arterial puncture in Adults? | Radial, Brachial, or Femoral |
| Site progression for arterial puncture in Infants? | Temporal or Umbilical |
| Arterial Blood Gas Kits with Liquid(Pulsator) Heparin? | 3 cc syringe, sodium heparin, and rubber stopper. |
| Arterial Blood Gas Kits with Dry (Provent) Heparin? | 3 cc syringe, lithium heparin, provent filter, and rubber stopper. |
| What should you do first before performing ABG? | Verify orders and verify patient |
| What should you pre-set syringe plunger at for Dry (Provent) Heparin? | 1-1/2 cc |
| When performing modified Allens test; rapid perfusion of blood back into the hand should occur within how long? | 5 seconds |
| What is an adequate blood sample obtained for ABG? | 2-4 mls |
| How long should you apply pressure if patient is on anti-coagulant therapy? | 10-15 minutes |
| When storing blood samples in ice bath, how long can they last? | 1 hour |
| What does VAMP stand for? | Venous Arterial Blood Management Protection System |
| When using a VAMP how long should it take to draw reservoir up? | 3-5 seconds |
| Blood should not remain in the reservoir longer than how long for a VAMP? | 3 minutes |
| Samples must be labeled with what? | Date and time, sample site and result of MAT, Pt's body temperature, RR and Vt, FiO2 or liter flow rate, and mode of ventilation. |