Arterial Blood Gases Made Easy by Iain Hennessey, Alan Japp

By Iain Hennessey, Alan Japp

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1 pressure of carbon dioxidt> in our blood, is determinoo by alvL'Olar vCl1tllo:ation. "CSSary. 10 maintain PlIC'O;z within oormallimifs. ies is in the form of COz, so it is our lungs that excrete the vast majority of the o:aud load. Renal (mefobollc) mechanisms The kidneys art' r(>$poru;ible for eXcrelmg rnmbolic acids. 'l from urine. :CCPlS H' ions), so it reduct'S the ("onr('ntration of H· ions in blood. The kidn~ys can adjust urinary H' and IlCo, excretion in responSE' to changes in metabolic led pnxluL1ion.

44 ABG SAMPLING TECHNIQUE ngure 19 PO$jtioning 01 _i511ot A8G sompIing. iaI lilac II? Ooft. pul,otil. g). y lower than 500: on pulse Wtirnelry. 'S:iourc to the samplp ~lle for at least 5 minutes (and until bl~ing has cea:x'd). • lliposc of all sharps and contammated matcrials approprialply. • l'nsHrt> that no air bubbles are present in the samph~, as thcy may compromise results. Any sample with more than very fili~ bubbk--s should be discard<>:d. '\.! on crushed ice, • .. 15m, thwarting further attempt:.

Hen oc:cllde bJltl;wlenes • -- '--LJ. ,. ar1efy. c • fit ooIow IllUns to .. m . ocJif,ed Allen test. 47 WHEN AND WHY IS AN ABG REQUIRED? 1. TO ESTABLISH A DIAGNOSIS The- ABc. i~ integral to the diagnosis of respiTo1tnry failure and primary hypt>n'pntilahon. lltlllifics the pn>sencp of metabolic lkidosis and alkalosis. 2. 1ble bl:>low, In aJditiun to owrall clinical QSHSSmm/, may help id\;~lIti{y critically \lnwpl1 patients rt:y,uiring Llq~ent inteTVf>ntion. espooding drop in pH. /S s'gn. Polienls require Ulgen!

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