2. INTRODUCTION
Arterial blood gases are an important routine
investigation to monitor the acid-base
imbalance of the patient. They may help to
make diagnosis ,indicate the severity of
condition and help to assess treatment. Blood
for ABG analysis can be obtained by arterial
puncture usually from radial and femoral
artery. Bicarbonate helps in maintaining blood
pH value. Kidney and lungs work in our body
as compensatory mechanism.
3.
4. PURPOSE
To determine the presence and
type of acid – base balance.
To check for severe breathing
problem and lungs diseases.
Assessment of the response to
the therapeutic intervention such
as mechanical ventilator.
14. Non pharmacological:-
• Dialysis:- To clear the toxin from blood.
• Oxygen Therapy:- To minimize the chance
of hypoxemia.
• Ventilator Support:- To subside the
respiratory problem.
23. Management
Pharmacological:-
• Ringer lactate
• Diuretics
• Administer bicarbonates
Non-pharmacological:-
• To provide IV fluid.
• Stop drinking alcohol.
• To provide plenty of fluid.
24.
25. Causes
• Alcohol abuse
• Hyperaldesteron
• Diarrhea and vomiting
• High fever
• Diuretic therapy
• Cystic fibrosis
30. Equipment Required
A clean tray containing:
• Gloves
• Antiseptic solution
• Local anesthesia
• 0.5 ml sodium heparin( 1:1000)
• 2 – 3 ml syringe with 20, 23 and 25
gauze needle.
• Paper bag
31.
32. Preparation of client
To record the temperature of the client.
Record inspired oxygen concentration
of the client.
Heparnised the syringe to prevent
blood clotting.
To reduce anxiety of the client.
Allen’s test
33.
34.
35. Sample Collection
Wash hands and wear gloves.
Place pillow under the patient’s wrist.
Palpate the artery i.e radial, brachial or
femoral to be punctured.
Obliterate both radial and ulnar arteries at
wrist by pressing them with both thumbs.
Ask the patient to clench and unclench the
fist until blanching of skin occurs.
36. Release the pressure on the ulnar artery by
removing the thumb on it.
Watch for return of circulation to skin with
in 15 sec.
Palpate the radial artery for pulsation.
Puncture the artery at 45-60° angle.
The arterial blood rushes into the syringe
with a great force.
We should withdraw 2-3 ml of blood for
sample.
37.
38. Once the sample has been taken, withdraw
the needle and apply firm pressure over the
site of puncture with dry sponge.
Remove the air bubble from syringe and
needle.
Capping the needle.
Place the capped syringe into an ice
container.
Maintain firm pressure on puncture site for
5 min.
If patient is on anticoagulants use the high pressure
dressing.
39. Follow-up
Send the collected sample to the
laboratory immediately.
Assess for cold hands or
numbness.
Change the ventilator settings.
40. Complication of ABG
Bleeding
Infection at puncture site
Blood accumulating under skin
Local pain
Thrombus in artery
Feeling faint
Numbness of hand
41. Contraindication of ABG
Coagulopathy
Artherosclerosis
Infection at insertion site
Abnormal modified Allen’s test
Use of thrombolytic agent