ABG Interpretation PDF
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Uploaded by WillingPoisson
Texas Woman's University
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Summary
This document provides an overview of arterial blood gas (ABG) interpretation, focusing on various acid-base imbalances like respiratory and metabolic acidosis and alkalosis. It details their causes, compensation mechanisms, and treatments.
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Watch YouTube ABS Arterial Blood Gases Results information well the · on how give us lungs and kidneys are...
Watch YouTube ABS Arterial Blood Gases Results information well the · on how give us lungs and kidneys are functioning · rate Lungs regulate the CO2- respiratory alkalosis H perventilation - CO2yPh resp =. LH apoventilation - co -uph resp HCO3 = , acidosis the Kidneys regulate · His acidic , HCOz is alkaline Producing HCO3 LExcreting Htions Acid Base Balance formal ABG PH35-2 ·. 45 PCOz35-45mmig · · HCO3 22-26 mEgIL Acidosis Respiratory cause Hypoventilation (keeping in CO2-inc acidity) · : Sedation - poor gas exchange - L COPD iPneumonia , CHF Retain CO2 "Increase PaCO2 · - CO2 combines vol H20 to form carbonic acid He · becomes more acidic (7 35) < ph. · Carbonic Acid will start to disassociate Kidneys - It will be excreted from the wine be it acidic - HCO3 reabsorbed will be ↳o maintain 20 : 1 ratio. If acid + then Blcaris needsto ↳ will take 24-13hrs -corrected by Hyperventilation (fastest way) - Intubation Decrease narcotics - Alkalosis Respiratory Hoo little CO2) Cause Hyperventilation · : Anxiety - Pain & - Blow off CO2 · ~ Decreased PaCO2-ph becomes alkalotic (7. 45) correction · b must reakdown inordera CarbonicAcid HCO3 Lidneys produce more by Hypoventilation ~ Correction reduce anxiety - Control - pain Metabolic Acidosis Cause ; Increased Hions or dec HCO3 ,to much acid and not to bind to enough bicarb Renal failure Lunable to excrete HH) ↳ DKA starvation line + production) (Diarrhealloss of HLO3) · It has nothing to bind to stimulated to breathe faster Brain is -Dec pCle (becomes less acidic works for a short time-respiratory fatigue - correction okidneys Excrete more are t nothing to kind to or · "Reabsorb more HCOz from the bowels H+ -To bind w/ the excess Decreased free HCO3 I : Correct the problem treatment · Reverse DIA · Treat diawhea · Dialysis (remove Hions) Metabolic Alkalosis and too little H + cause HCO3 :too much > ALLGHosis vomiting · - closs of HC from stomach-loss of Hions · Antacids Diuretic Use · -Excretes Atfrom kidneys · Increased H correction - fix) Hypoventilate quick Retain ↳ Coincidiy t period oftime Kidneys · Lexcrete HCOz and retains H+ Treatment (correct problem) Antiemetics · · Decrease Antacid # diuretic use ABG Interpretation · PH :1 35 acidosis. = · 7 45 alkalosis. = · plOzklungs) 35-15mmHg · Normal metabolic = · Abnormal = respiratory · PHCO, (kidney) 22-26 Normal respiratory · = · Abnormal metabolic ROME * * ARROWS (Respiratory Opposite Metabolic Even) Rules to Remember Acute