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ABGs

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Question
Answer
Why do we analyze ABGs?   ABG analysis gives important information to assist in the clinical management of patients with respiratory and metabolic problems  
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low HCO3   Kidney Disease  
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High PaCO2   COPD  
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Low PaO2   ARDS  
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From where do we draw?   Radial Artery – most common site at which we draw ABGs  
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Why from radial artery   Collateral circulation Allen’s test  
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pH   represents a measurement of the overall acid-base balance and is used to assess the overall [H+] status of the blood  
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PaCO2   represents the arterial CO2 level and is used to assess ventilatory status  
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PaO2   represents the O2 tension level in the arterial blood and is used to evaluate the oxygenation status  
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HCO3   Represents bicarbonate level, an important buffer in the blood, and is used to evaluate the metabolic aspect of acid-base balance  
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BE/BD   Represents the base excess (or deficit) level of the blood, and is used to indicate the metabolic aspect of acid-base balance  
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SaO2   Represents the level of saturation of hemoglobin (Hb) with O2 and also provides a measure of arterial oxygenation  
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7.35 – 7.45   pH  
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35 – 45mmHg   PaCO2  
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80 – 100mmHg   PaO2  
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22-26meq/L   HCO3-  
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+/-2meq/L   BE/BD  
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acidic   High levels of CO2, Low pH (High H+ concentration, Low levels of HCO3  
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alkalotic   Low levels of CO2, High pH (Low H+ concentration), High levels of HCO3  
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pH and PaCO2   are inversely related  
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pH and HCO3   are directly related  
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What is COMPENSATION?   The altering of function of the respiratory or renal (metabolic) system in an attempt to correct for an acid-base disorder.  
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Hypoxemia   low levels of oxygen in the blood  
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60-80mmHg   mild hypoxemia  
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40-60mmHg   moderate hypoxemia  
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<40mmHg   severe hypoxemia  
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pH < 7.35   acidic  
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pH >7.45   alkalotic  
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PaCO2 < 35mmHg   alkalotic  
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PaCO2 > 45mmHg   acidic  
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HCO3 < 22meq/L   acidic  
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HCO3 > 26meq/L   alkalotic  
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Relationship between Minute Ventilation and ABG interpretation   As Minute Ventilation increases, PaCO2 will decrease and pH will increase (Alkalosis) As Minute Ventilation decreases, PaCO2 will increase and pH will decrease (Acidosis)  
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