ARTERIAL BLOOD GAS ANALYSIS课件.pptVIP

* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Example 3 Jane Doe is a 34 year-old female admitted to your nursing unit with thyrotoxicosis. Her blood gas results are as follows: pH 7.50, pCO2 30, HCO3 24. Step One Identify whether the pH, pCO2 and HCO3 are abnormal. For each component, label it as “normal”, “acid” or “alkaline”. pH 7.50 (7.35-7.45) ALKALOSIS PaCO2 30 (35-45) ALKALOSIS HCO3 24 (22-26) NORMAL Step Two If the ABG results are abnormal, determine if the abnormality is due to the kidneys (metabolic) or the lungs (respiratory). pH 7.50 (7.35-7.45) ALKALOSIS PaCO2 30 (35-45) ALKALOSIS = Lungs HCO3 24 (22-26) NORMAL = Kidneys Example 4 Jane Doe is a 19 year-old female admitted to your nursing unit with head injury. Her blood gas results are as follows: pH 7.38, pCO2 56, HCO3 35. Step One Identify whether the pH, pCO2 and HCO3 are abnormal. For each component, label it as “normal”, “acid” or “alkaline”. pH 7.38 (7.35-7.45) NORMAL PaCO2 56 (35-45) ACIDOSIS HCO3 35 (22-26) ALKALOSIS Step Two If both the pCO2 and the HCO3 are abnormal, but the pH is in the normal range, instead of using a “normal range” of 7.35-7.45, we are going to use the single value of 7.40 as our only “normal”. Any pH of 7.40 is now going to be considered acidosis. Any pH 7.40 is now going to be considered alkalosis. pH 7.38 (7.40) ACIDOSIS PaCO2 56 (35-45) ACIDOSIS HCO3 35 (22-26) ALKALOSIS Step Three Determine if the abnormality is due to the kidneys (metabolic) or the lungs (respiratory). pH 7.38 (7.40) ACIDOSIS PaCO2 56 (35-45) ACIDOSIS = Lungs HCO3 35 (22-26) ALKALOSIS Example 5 Jane Doe is admitted to your nursing unit. Her admission lab work