Acid/Base and ABG Interpretation Made Simple. sampling, fft and nyquist frequency. We should have titled this article Mechanical Ventilation Made Easy because our goal is to break it down for you in a way that’s simple to learn and understand. LEARNING OBJECTIVES The clinician after participating in the roundtable will be able to: 1) Indicate whether the pH level indicates acidosis or alkalosis. what is hail and how its made. They'll give your presentations a professional, memorable appearance - the kind of sophisticated look that today's audiences expect. Arterial Blood Gas made easy Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. ABG interpretation is especially important in critically ill patients. by alex paseka 7c id1. renay knapp, henderson county tracy davis, rutherford county cathy. In this article, I’m going to talk you through ABG interpretation using the tic-tac-toe method, which was originally shared in the article “Turn ABGs into child’s play” by Doreen Mays and Eileen O’Connor [Mays, D. A. Print Book & E-Book. Step 3 • Put all your findings together to determine the overall imbalance • Example: pH 7.29 PCO2 50 HCO3 26 • What is this patient’s condition? MINT Merch: https://teespring.com/stores/mint-nursing (Thank you for the support)Hey Guys!You are watching an educational video about interpreting ABGs. made into a movie. ABGs reflect the patient’s physiological condition at the moment of sampling. 1. Pocahotties, Picasso and the Elgin Marbles. History 2. Looks like you’ve clipped this slide to already. 6 Easy Steps to ABG Analysis ©2003-2009 Ed4Nurses, Inc. www.Ed4Nurses.com 1 WELCOME TO THE 6 EASY STEPS TO ABG ANALYSIS! EASY WAY TO UNDERSTAND STEWART’S ACID-BASE vi Preface Understanding the chemistry of water and hydrogen ions is an important part of … A-a Gradient FIO2 = PA O2 + (5/4) PaCO2 FIO2 = 713 x O2% A-a gradient = PA O2 - PaO2 Normal is 0-10 mm Hg 2.5 + 0.21 x age in years With higher inspired O2 concentrations, the A-a gradient will also increase. ; PaCO 2. ABG INTERPRETATION Marc D. Berg, MD DeVos Children s Hospital Rita R. Ongjoco, DO Sinai Hospital of Baltimore ABG Interpretation First, does the patient ... – A free PowerPoint PPT presentation (displayed as a Flash slide show) on PowerShow.com - id: 4539a4-YjNiN Acid Base Balance and Arterial Blood Gas Analysis. cells need steady balance between acids and bases normal acid -, Changes in Oxyhemoglobin Dissociation Curve. Is CO2 normal? Hello, friends. made no attempt to help normalise the pH. Unless it is an emergency, 20 to 30 minutes should elapse before taking a sample from spontaneously breathing patients, with 10 minutes for ventilated patients. • SaO2-The arterial oxygen saturation. ABG Lecture Dr Lenora Fernandez. abg presentation.ppt 9,105 views. All registration fields are required. made (or being made into) tv. This guide covers all the basics of Mechanical Ventilation and provides answers to all of the most common questions. This should be super easy since you already wrote the … 4. Answer • pH 7.29 • PCO2 50 • HCO3 26 • Respiratory acidosis, More Practice • pH 7.50, PCO2 30, HCO3 26 • pH 7.30, PCO2 42, HCO3 20 • pH 7.48, PCO2 42, HCO3 32 • pH 7.29, PCO2 55, HCO3 26, Primary Cause of Imbalances • Respiratory acidosis-hypoventilation • Metabolic acidosis-addition of large amounts of fixed acids to body fluids-Ketoacidosis with diabetes • Respiratory alkalosis-hypoventilation • Metabolic alkalosis-retention of base or loss of acid through body fluids. • Partial compensation pH is still abnormal, and the ‘other’ value is abnormal in an attempt to help normalise the pH. The PaO2 measures oxygenation, and normal ranges are 80-100 mm Hg. ISBN 9780702061912, 9780702064791 a guide for writing coast guard award recommendations. easy. Find PowerPoint Presentations and Slides using the power of XPowerPoint.com, find free presentations research about Easy Abg Interpretation PPT. First, we need to lay the foundation and talk about what three lab values you need to look at when trying to figure out ABGs, how to determine if that value is consider normal, an acid, or basic (alkalotic), and what fancy terms are used once the ABG is figured out. West Bengal Application Form . However, practice and experience will ease the frustration. View and Download PowerPoint Presentations on Abg Made Easy PPT. Lab values: pH 7.31, paCo2 34, HCO3 21 * 4. See our Privacy Policy and User Agreement for details. When you first study clinical acid-base disturbances, you may be frustrated as this concept is a difficult one to grasp. by : alyson and kelly. ABG interpretation is one of the most challenging things you’ll learn in nursing school, but the good news is…it DOES get much easier with practice. • Arterial Blood Gas is a lab that shows us the status of a patient’s chemical balance • In general lab with be drawn from an artery by a RT not a nurse • However nurses are responsible for the analysis of the lab and the reaction to the analysis, Main Components of ABG • pH-Measures hydrogen ion (H+) concentration • PCO2-Partial pressure of CO2 in arteries • HCO3-Measures serum bicarbonate, Normal Values of ABG • pH-7.35-7.45 • PCO2-35-45mmHg • HCO3-22-26 mEq/l, Abnormal ABG Readings • The body will work hard to balance any abnormal values within the acid-base system • How the body works to do this depends on the issue: • CO2 is controlled by the lungs • HCO3 is controlled by the kidneys, Compensated Vs Uncompensated • If the body can work to balance the issue through the lungs or kidneys it will result in a normal pH • Other values in the ABG will be ABNL however do not matter since there not an overall effect on the pH • This is a compensated ABG • Allow the body to continue the balance and monitor patient closely, Step 1 • Look at the pH-if abnormal you have an uncompensated disturbance • Now figure out if the disturbance is acidosis or alkalosis-this will determine the treatment • Acidosis is pH below7.35 and results from adding H+ an acid • Alkalosis is pH above 7.45 and results from decrease in H+ an acid, Step 2 • When in ROME… • Respiratory Opposite-the HCO3 is normal and the arrows for the pH and PCO2 point in opposite directions • Metabolic Equal-the PCO2 is normal and the arrows for pH and HCO3 point in the same direction. sd lamp. made easy. 2. acid-base balance. what carries information between dna to proteins? tic tac toe. Causes of Lactic Acidosis. (1995, January). Acid/Base Relationship Case Study No. Now we are finally ready to assess the patient’s ABG values. What is an ABG? discussion topics. book!. Arterial Blood Gas is a lab that shows us the status of a patient’s chemical balance In general lab with be drawn from an artery by a RT not a nurse However nurses are responsible for the analysis of the lab and the reaction to the analysis. - dependency injection made easy. Acid/Base and ABG Interpretation Made Simple - PowerPoint PPT Presentation. In this case, the PaCO 2 is raised significantly and this is likely to be the cause of the acidosis. For respiratory the pH will head in the “O”pposite direction as the C”O”2. searching for the best. Acidemiaor Alkalemia? We’ve created this guide, which aims to provide a structured approach to ABG interpretation whilst also increasing your understanding of each result’s relevance. Clearly, you only need the 3 values I bolded above and there’s no away around this other … 2. See our User Agreement and Privacy Policy. ABG Interpretation Made Easy (Step by Step) Being able to interpret the results of an ABG sample is extremely important for Respiratory Therapists. ABG analysis will indicate if a patient’s injury or disease process is impairing oxygenation or affecting the body’s acid-base balance. ABG Interpretation - Free download as Powerpoint Presentation (.ppt), PDF File (.pdf), Text File (.txt) or view presentation slides online. If you continue browsing the site, you agree to the use of cookies on this website. What is the Oxygenation status 3. ABG interpretation made easy Steps to Interpret ABG. What is the pH? LEARNING OBJECTIVES The clinician after participating in the roundtable will be able to: 1) Indicate whether the pH level indicates acidosis or alkalosis. This is a video on ABG (Arterial Blood Gas) interpretation. Let’s play tic-tac-toe • Luis is a 64-year-old patient who has a long history of COPD. This should be super easy since you already wrote the … Is there any (if any) compensation occurring? Understanding acid-base balance and imbalance can be difficult. Accurate conclusions … presented by bonnie rush, The Games of Colonial America - . Get powerful tools for managing your contents. Is the HCO3 normal? 1. Other Important Values on ABG • PaO2-The partial pressure of oxygen that is dissolved in arterial blood. Start by looking at the pH and decide if the value is normal (7.35-7.45), high (>7.45), or low (<7.35). ABG Made Easy. that. what molecule codes for genes? What is an ABG?. His ABG results are: – pH 7.26 – PaCO2 52 – HCO3- 34 . Share; Like; Download ... DominicDR. larissa bornikova, md july, 2006. objectives. Normal Values to check in ABG Before actually starting to interpret the ABG reports, one needs to remember the following normal values, without which, it is impossible to analyze anything. 1 60 y/o male comes ER c/o SOB. Arterial Blood Gas is a lab that shows us the status of a patient’s chemical balance In general lab with be drawn from an artery by a RT not a nurse However nurses are responsible for the analysis of the lab and the reaction to the analysis. Step 4: Assess the patient’s ABG values. In addition, you will find tables that list commonly encountered acid-base disorders. I want my free cheat sheet! 5. Arterial Blood Gas (ABG) interpretation for medical students, OSCEs and MRCP PACES This section presents how to interpret arterial blood gases. ABG Quick Interpretation Parameter Acidosis Normal Alkalosis Reflects pH < 7.35 7.35-7.45 > 7.45 Acid/Base Status of Body pCO2 > 45 35-45 < 35 Respiratory Component HCO3 < 22 22-26 > 26 Metabolic Component Facts: Body will not overcompensate when it comes to acid/base balance so: pH midpoint is … Arterial Blood Gas Analysis …..1 Dr Satish Deopujari Pediatrician Hon. Now you will want to move on to ABG interpretation made easy part II and, once you have oxygenation mastered, now it's time for some practice. He presents today with a slight fever and complains of shortness of breath and coughing up green-colored sputum. audience. When interpreting arterial blood gas (ABG) results, it is essential to know what ABG values are considered ‘normal’. Lab values: pH 7.56, paCo2 20, HCO3 20 * 2. monsters. The PaO 2 is low, so we know the patient is in respiratory failure, however, we don’t yet know what type. children ages 4 to 6 want to, Outline - What is life made of? 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