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Acid-Base Balance
 
 
 
 
 
Normal Blood pH ,[object Object],[object Object],[object Object],[object Object],[object Object]
Acid-Base Balance ,[object Object],[object Object],[object Object]
Acidosis ,[object Object],[object Object],[object Object],[object Object]
Respiratory Acidosis ,[object Object],[object Object],[object Object]
Causes of Respiratory Acidosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Respiratory Alkalosis   ,[object Object],[object Object],[object Object]
Respiratory Alkalosis   ,[object Object],[object Object],[object Object],[object Object],[object Object]
Metabolic Acidosis ,[object Object],[object Object],[object Object],[object Object]
Metabolic Alkalosis   ,[object Object],[object Object]
Metabolic Alkalosis ,[object Object],[object Object],[object Object],[object Object]
ABG (Arterial Blood Gas) Roseviminda M. Chumacera, RN, MAN
Description: ,[object Object],[object Object]
Indications:   ,[object Object],[object Object],[object Object]
Materials: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Procedure: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Procedure: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Procedure: ,[object Object],[object Object],[object Object]
Procedure: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Procedure: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Contraindications: ,[object Object],[object Object],[object Object],[object Object]
Contraindications: ,[object Object],[object Object]
Complications: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Normal Values: 95 – 100 % SaO 2 80 -100 mmHg pO 2 22 – 26 mmol/L HCO 3 35 – 45 mmHg pCO 2 7.35 – 7.45 pH
ABG Interpretation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
[object Object],[object Object],[object Object]
Blood Parameters of Acid-Base Balance during Uncompensated & Compensated States ,[object Object], Normal HCO 3   PaCO 2 Low Normal  pH Compensated Uncompensated
Blood Parameters of Acid-Base Balance during Uncompensated & Compensated States ,[object Object], Normal HCO 3   PaCO 2 High Normal  pH Compensated Uncompensated
Blood Parameters of Acid-Base Balance during Uncompensated & Compensated States ,[object Object],  HCO 3  Normal PaCO 2 Low Normal  pH Compensated Uncompensated
Blood Parameters of Acid-Base Balance during Uncompensated & Compensated States ,[object Object],  HCO 3  Normal PaCO 2 High Normal  pH Compensated Uncompensated
Compensatory Response in Acid-Base Disorders    HCO3    HCO3    PaCO2,    pH    PaCO2, N/   pH Resp. Alkalosis Acute Chronic    HCO3    HCO3    PaCO2,    pH    PaCO2, N/    pH Resp. Acidosis Acute Chronic    PaCO2    HCO3    pH Met. Alkalosis    PaCO2    HCO3    pH Met. Acidosis Compensatory Response Primary Abnormality Primary Disorder
ABG  Interpretation  Exercises
# 1 Interpretation: _________________________________ 95 % 90 35 55 7.44 O 2 Sat. pO 2  HCO 3 pCO 2 pH
# 2 Interpretation: _________________________________ 96% 82 27 47 7.3 O 2 Sat. pO 2  HCO 3 pCO 2 pH
# 3 Interpretation: _________________________________ 85% 70 17  39  6.8 O 2 Sat. pO 2  HCO 3 pCO 2 pH
# 4 Interpretation: _________________________________ 88% 78 20  30  7.42 O 2 Sat. pO 2  HCO 3 pCO 2 pH
# 5 Interpretation: _________________________________ 80% 65 28 44 7.22 O 2 Sat. pO 2  HCO 3 pCO 2 pH
# 6 Interpretation: _________________________________ 92% 84 29 49 7.38 O 2 Sat. pO 2  HCO 3 pCO 2 pH
Thank You  for Listening!
ABG Interpretation Quiz
# 1 Interpretation: _________________________________ 80% 50 26 58 7.30 O 2 Sat. pO 2  HCO 3 pCO 2 pH
# 2 Interpretation: _________________________________ 89% 70 25 56 7.28 O2 Sat. pO 2 HCO 3 pCO 2 pH
# 3 Interpretation: _________________________________ 96% 88 20 48 7.28 O2 Sat. pO2  HCO3 pCO2 pH
# 4 Interpretation: _________________________________ 89% 77 14 55 7.02 O2 Sat. pO2  HCO3 pCO2 pH
# 5 Interpretation: _________________________________ 89% 58 35 63 7.37 O2 Sat. pO2  HCO3 pCO2 pH
# 6 Interpretation: _________________________________ 97% 92 27 36 7.5 O2 Sat. pO2  HCO3 pCO2 pH
# 7 Interpretation: _________________________________ 98% 96 28 46 7.48 O2 Sat. pO2  HCO3 pCO2 pH
# 8 Interpretation: _________________________________ 97% 86 29 42 7.46 O2 Sat. pO2  HCO3 pCO2 pH
# 9 Interpretation: _________________________________ 50% 42 13 70 6.89 O2 Sat. pO2  HCO3 pCO2 pH
# 10 Interpretation: _________________________________ 89 % 78 14 59 7.0 O2 Sat. pO2  HCO3 pCO2 pH
# 11 Interpretation: _________________________________ 98% 100 16 19 7.54 O2 Sat. pO2  HCO3 pCO2 pH
 
ABG Sampling in an Arterial Line ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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ABG

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  • 17. ABG (Arterial Blood Gas) Roseviminda M. Chumacera, RN, MAN
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  • 22.  
  • 23.
  • 24.
  • 25.
  • 26.
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  • 30. Normal Values: 95 – 100 % SaO 2 80 -100 mmHg pO 2 22 – 26 mmol/L HCO 3 35 – 45 mmHg pCO 2 7.35 – 7.45 pH
  • 31.
  • 32.
  • 33.
  • 34.
  • 35.
  • 36.
  • 37.
  • 38.
  • 39. Compensatory Response in Acid-Base Disorders  HCO3  HCO3  PaCO2,  pH  PaCO2, N/  pH Resp. Alkalosis Acute Chronic  HCO3  HCO3  PaCO2,  pH  PaCO2, N/  pH Resp. Acidosis Acute Chronic  PaCO2  HCO3  pH Met. Alkalosis  PaCO2  HCO3  pH Met. Acidosis Compensatory Response Primary Abnormality Primary Disorder
  • 40. ABG Interpretation Exercises
  • 41. # 1 Interpretation: _________________________________ 95 % 90 35 55 7.44 O 2 Sat. pO 2 HCO 3 pCO 2 pH
  • 42. # 2 Interpretation: _________________________________ 96% 82 27 47 7.3 O 2 Sat. pO 2 HCO 3 pCO 2 pH
  • 43. # 3 Interpretation: _________________________________ 85% 70 17 39 6.8 O 2 Sat. pO 2 HCO 3 pCO 2 pH
  • 44. # 4 Interpretation: _________________________________ 88% 78 20 30 7.42 O 2 Sat. pO 2 HCO 3 pCO 2 pH
  • 45. # 5 Interpretation: _________________________________ 80% 65 28 44 7.22 O 2 Sat. pO 2 HCO 3 pCO 2 pH
  • 46. # 6 Interpretation: _________________________________ 92% 84 29 49 7.38 O 2 Sat. pO 2 HCO 3 pCO 2 pH
  • 47. Thank You for Listening!
  • 49. # 1 Interpretation: _________________________________ 80% 50 26 58 7.30 O 2 Sat. pO 2 HCO 3 pCO 2 pH
  • 50. # 2 Interpretation: _________________________________ 89% 70 25 56 7.28 O2 Sat. pO 2 HCO 3 pCO 2 pH
  • 51. # 3 Interpretation: _________________________________ 96% 88 20 48 7.28 O2 Sat. pO2 HCO3 pCO2 pH
  • 52. # 4 Interpretation: _________________________________ 89% 77 14 55 7.02 O2 Sat. pO2 HCO3 pCO2 pH
  • 53. # 5 Interpretation: _________________________________ 89% 58 35 63 7.37 O2 Sat. pO2 HCO3 pCO2 pH
  • 54. # 6 Interpretation: _________________________________ 97% 92 27 36 7.5 O2 Sat. pO2 HCO3 pCO2 pH
  • 55. # 7 Interpretation: _________________________________ 98% 96 28 46 7.48 O2 Sat. pO2 HCO3 pCO2 pH
  • 56. # 8 Interpretation: _________________________________ 97% 86 29 42 7.46 O2 Sat. pO2 HCO3 pCO2 pH
  • 57. # 9 Interpretation: _________________________________ 50% 42 13 70 6.89 O2 Sat. pO2 HCO3 pCO2 pH
  • 58. # 10 Interpretation: _________________________________ 89 % 78 14 59 7.0 O2 Sat. pO2 HCO3 pCO2 pH
  • 59. # 11 Interpretation: _________________________________ 98% 100 16 19 7.54 O2 Sat. pO2 HCO3 pCO2 pH
  • 60.  
  • 61.
  • 62.
  • 63.
  • 64.