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Medical Surgical Nursing Suretech College of Nursing

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Medical Surgical Nursing

suretech College of Nursing


Title of Topic: ABG ANALYSIS

Authors name: Mr. sandip rangari

Name of Department : Medical Surgical Nursing


Name of college : Suretech College of Nursing
ABG ANALYSIS

DEPARTMENT
OF
MEDICAL SURGICAL NURSING

Smt. Radhikabai Meghe Memorial College of


Nursing
LEARNING OBJECTIVES

At the end of this lecturer, students should be able to:

• Define ABG analysis

• Enlist the purpose of ABG analysis

• Explain the terms related to acid and base analysis.

• Describe the respiratory and metabolic, acidosis

and alkalosis.
DEFINITION

Measurements of blood pH and of

arterial oxygen and carbondioxide tensions are


obtained when managing patients with respiratory
problems and in adjusting oxygen therapy as needed.
PURPOSE OF ABG ANALYSIS

• Aids in establishing a diagnosis


• Helps guide treatment plan
• Aids in ventilator management
• Improvement in acid/base management

• Acid/base status may alter electrolyte

levels critical to patient status/care.


WHERE TO PLACE-THE OPTION

• Arterial blood gas levels are obtained

through an arterial puncture at the

• radial,

• brachial,

• femoral artery

• through an indwelling arterial catheter


THE TERMS:
• ACIDS

Academia

Acidosis

• Respiratory : CO2

• Metabolic: HCO3
THE TERMS:
• BASES

• Alkalemia

– Alkalosis

• Respiratory: CO2

• Metabolic: HCO3
RESPIRATORY ACIDOSIS:
• ph, CO2, Ventilation

• Causes

– CNS depression

– Pleural disease

– COPD/ARDS

– Musculoskeletal disorders
RESPIRATORY ALKALOSIS:
• pH, CO2, Ventilation

•  CO2  HCO3 (Cl to balance charges


hyperchloremia)

• Causes

– Intracerebral hemorrhage

– Salicylate and Progesterone drug usage


Ct-- RESPIRATORY ALKALOSIS:
• Anxiety, lung compliance

• Cirrhosis of the liver


METABOLIC ACIDOSIS:
• PH, HCO3

Causes:

• diarrhea, lower intestinal fistulas, ureterostomies,


and use of diuretics; early renal insufficiency;
excessive administration of chloride; and the
Ct---METABOLIC ACIDOSIS:
• Administration of parenteral nutrition without
bicarbonate or bicarbonate-producing solutes (e.g.,
lactate).
SUMMARY
In this class we discussed the

• Define ABG analysis

• Enlist the purpose of ABG analysis

• Explain the terms related to acid and base analysis.

• Describe the respiratory and metabolic, acidosis

and alkalosis.
Question
• Define ABG analysis
• Enlist the purpose of ABG analysis
• Explain the terms related to acid and base
analysis.
• Describe the respiratory and metabolic, acidosis
and alkalosis.
BIBLIOGRAPHY

• Lewis et al, Medical Surgical Nursing, Mosby


Elsevier,7th edition.

• Joyce.M.Black et al, Medical Surgical Nursing,


Saunders publication.

• Brunner and Siddhartha, Medical Surgical Nursing,


Lippincott Williams and Wilkins.

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