blood gas analyzer.pptVIP

* * * * * * * * * * * * * * * * * * * * * * * * Arterial Blood Gases Quality Control Calibration vs. Quality Control Calibration is when the equipment is adjusted or corrected to match the control standards Quality Control testing must be performed on a regular basis to determine the accuracy and precision of the equipment against a known standard Arterial Blood Gases Quality Control Accuracy vs. Precision Accuracy refers to the mean (average) value of several measurements Precision refers to how consistently the same measurement will produce the same results Arterial Blood Gases Quality Control Must be run every shift Utilize a known concentration of gases and buffers in a vial of liquid Run three levels of QC Level 1 – Acidosis Level 2 – Normal Level 3 - Alkalosis Arterial Blood Gases Quality Control “KNOWN VALUE IN MUST EQUAL KNOW VALUE OUT!” Arterial Blood Gases Quality Control When QC is run it must be recorded and maintained onsite; in the ABG laboratory Must be available for review by State agencies on demand Arterial Blood Gases Quality Control Plotting In control Trend Random Error Out of Control Arterial Blood Gases Quality Control In control All QC runs are within the acceptable +SD Arterial Blood Gases Quality Control Trend All QC runs within the acceptable +SD but trending towards one side of the SD Arterial Blood Gases Quality Control Random Error All QC runs within the acceptable +SD except for one run Arterial Blood Gases Quality Control Out of control Two or more QC runs are out of the acceptable +SD Capnography Capnography is the continuous, noninvasive monitoring of expired CO2 and analysis of the single-breath CO2 waveform Capnography Capnography is performed utilizing: Infrared analyzer CO and CO2 absorb infrared radiation Capnography Capnography is performed utilizing: Infrared analyzer Requires accurate calibration 2 gas concentrations used Room air 5% CO2 mixture Inaccurate reading can occur when: Condensation of