If a patient is on 100% oxygen, you should expect a PaO2 of 500. padding: 0; EKG | ECG Interpretation Made Easy: An Illustrated Study Guide For Students To Easily Learn How To Read & Interpret ECG Strips. Interpret the ABG in a step-wise manner: Determine the adequacy of oxygenation (PaO2) Normal range: 80-100 mmHg (10.6-13.3 kPa) Determine pH status. Enter your email address below and hit "Submit" to receive free email updates and nursing tips. Now you will want to move on to ABG interpretation made easy part II and, once you have oxygenation mastered, now it's time for some practice. ISBN-10: 0965708373. Part 2: The ABG in Practice. Arterial blood gas analysis plays an indispensable role in the assessment and management of patients with a huge range of acute medical and surgical problems. slideshow widget 1) Oxygenation of blood through gas exchange in the lungs. It is an arterial blood sample. However, as the nurse taking care of the patient with abnormal Arterial Blood Gases (ABGs) it is your responsibility to know what to report to the doctor and how to properly oxygenate your patient based on their ABGs. slideshow['slide_current'] = slide_current; The blood pH is normal, but it falls on the acidotic side. In this guide, we'll help you understand the concepts behind arterial blood gas and teach you the easiest and most fun . Camera Cage: http://amzn.to/2koRMW74. Break it down into steps. Do you want to see how well you know how to interpret ABGs? Students can work around the table, looking at pH, then CO2 and then HCO3- and find the answer in the correct box. This book covers all aspects of the . I have also made an ID-card-sized version which can be easily used on the ward. Feb 11, 2015 - This Pin was discovered by Erica Daisey. But it is often encountered that many students don't know how to read ABG, and that's why we are providing Arterial Blood Gas: ABG Interpretation Made Easy. Found insideIn addition, case studies have been included, to demonstrate how patient care can be positively influenced by correct interpretation of blood gases. Quizzes are also provided in order to reinforce knowledge as readers work through the book. Step 3. Normal pH range: 7.35-7.45 (H+ 35-45 nmol/L) pH <7.35: Acidosis is an abnormal process that increases the serum hydrogen ion concentration, lowers the pH and results in acidaemia. var timer = window.setInterval(function() { ; Check the pO 2.Is the patient hypoxic? Respiratory Acidosis vs Respiratory Alkalosis imageURL = imageURL.replace("default","0"); While the analyzer can often help with analysis, the history of the patient is critical for accurate interpretation. We strive for 100% accuracy, but nursing procedures and state laws are constantly changing. Download ABG Interpretation Made Easy PC for free at BrowserCam. That in mind, and based on popular demand, here is ABG interpretations made easy (For simplicity reasons I will only refer to the three basic ABG values in this post: pH (acid base balance), CO2 (carbon dioxide) and HcO3 (bicarbonate). } else imageURL = imageURL.replace(/s\B\d{2,4}-c/,'s'+ image_redimension); The absolute normal is 7.40. Partial pressure of oxygen, or PaO 2, measures how well oxygen can flow from your lungs into your blood. Since your pH is acidic you know that you have acidosis going on but is it respiratory or metabolic acidosis? Camera: http://amzn.to/2iuK7S02. Found insideThis helpful, practical book begins with a clear explanation of acid-base balance, followed by a straightforward six-step approach to arterial blood gas interpretation. }); The four-step ABG analysis. For CO2 (NOTE: it is the opposite) anything less than 35 is a base and anything greater than 45 is an acid. Are the pCO 2 or HCO 3 abnormal? LIMITED TIME OFFER PRICE DROPPED. Assume metabolic cause when respiratory is ruled out. Arterial Blood Gas Analysis Made Easy with Tic-Tac-Toe Method. Since the pH is greater than 7.45 making it a basic, place it under the base column. method is the best way for doing this. display: block; Online medical calculator for the analysis of Arterial Blood Gases (ABG) interpretation. This analyzer should not substitute for clinical context. It should look like this: Now lets solve a problem using the tic tac toe method: ABG results are the following…..pH 7.24, PCO2 75, HCO3 28. For example: in uncompensated metabolic acidosis: pH 67.23, HCO3-6 15mmol/L, and the CO2 will be normal at 40mmHg. display: none; Post navigation. I've also got a bonus cheat sheet for you to help walk you through each of these steps. Updated on November 5, 2020. Ships from and sold by Amazon.com. The components of an ABG analysis are PaO 2, SaO 2, hydrogen ion concentration (pH), PaCO 2, HCO 3 −, base excess, and serum levels of hemoglobin, lactate, glucose and electrolytes (sodium, potassium, calcium, and chloride).Because HCO 3 − and base excess both yield similar information on the status of base (alkali), I'll only discuss HCO 3 −.The parameters most frequently used—PaO 2 . The first priority for the respiratory system is pH. if (imageURL){ If the ABG results reveal pH numbers are not within the normal range, the patient's pH level is either acidotic or alkalotic. BUT is this a respiratory or metabolic problem? ISBN-13: 978-0965708371. Compare the CO2 and HCO3- to look for compensation. Document and learn online with the online portfolio, subscribe to learn online. var imageURL = image.attr('src'); Arterial blood gas analysis is used to measure the pH and the partial pressures of oxygen and carbon dioxide in arterial blood. Analyze your HCO3. Here is a guide to help you understand it: Let’s talk about blood pH for a moment because if FULL compensation presents there will NOT be a tic tac toe and you will have to look closely at the blood pH to determine which system is causing the issue and which system is trying to “fix” the issue (hence compensate). Step 2. In order to easily solve arterial blood gas problems, the Tic Tac Toe or R.O.M.E. Now is it fully compensated, partially compensated, or uncompensated metabolic alkalosis? this script was written by Confluent Forms LLC http://www.confluentforms.com Usefulness. OBJECTIVES ABG Sampling Interpretation of ABG Oxygenation status Acid Base status Case Scenarios. This method is simple, easy and can be used for the majority of ABGs. It is attempting to disprove a theory, not blindly adhering to one. Arterial Blood Gas Interpretation Made Easy. Higher or lower levels may indicate conditions such as anemia, carbon monoxide poisoning, or sickle cell disease. FREE Shipping on orders over $25.00. -pie-background: rgba(54, 54, 54, 0.5); The Pocket Guide consolidates critical information found in desk references into a convenient 3"x5" pocket-size format that is handy enough to take with you anywhere. To read an ABG: Check the oxygen level. This can be verified by clicking the link at the bottom of this page for the oxyhemoglobin dissociation curve. Now in its third edition, this informative and indispensable reference reviews fundamental information about fluids, electrolytes, and acid-based balance; identifies electrolyte fluid, acid, and base imbalances; describes imbalances in ... ABGs Tic Tac Toe Method for Nurses with QUIZ: This video tutorial is on how to set-up arterial blood gas problems using the tic tac toe method. Arterial Blood Gas (ABG) values: Anion Gap values: pH : 7.36 - 7.44 Sodium (Na +): mEq/L P CO 2: mm Hg 36 - 44 mm Hg: Bicarbonate (HCO 3-): mEq/L HCO 3-: mEq/L 22 - 26 mEq/L: Chloride (Cl-): mEq/L Albumin : g/dL Acid-Base Interpretation: Anion Gap : mEq/L Normal : < 16 The 13-digit and 10-digit formats both work. If the ABG results reveal pH numbers are not within the normal range, the patient's pH level is either acidotic or alkalotic. slide_current = index; Theme images by, ABG interpretation made easy: interpretation of acid base balance, How to know if your patient is a CO2 retainer. Arterial Blood Gas Interpretation Made Easy. With this handbook, medical students, residents, nurses, and practitioners of respiratory and intensive care will find it possible to quickly grasp the principles underlying respiratory and acid-base physiology, and apply them. If partial pressure of carbon dioxide (pCO2) goes down, partial pressure of oxygen (pO2) should go up. 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