How do you interpret ABG results in nursing?

How do you interpret ABG results in nursing?

How to Interpret an ABG. The first value a nurse should look at is the pH to determine if the patient is in the normal range, above, or below. If a patient’s pH > 7.45, the patient is in alkalosis. If the pH < 7.35, then the patient is acidosis.

How do you determine respiratory acidosis and alkalosis?

Step 1 — check the pH A pH of less than 7.35 indicates acidosis and a pH greater than 7.45 indicates alkalosis.

What does high PO2 mean?

PO2 (partial pressure of oxygen) reflects the amount of oxygen gas dissolved in the blood. It primarily measures the effectiveness of the lungs in pulling oxygen into the blood stream from the atmosphere. Elevated pO2 levels are associated with: Increased oxygen levels in the inhaled air. Polycythemia.

What does low PCO2 mean?

– Low PCO2 indicates respiratory alkalosis in the presence of a high pH. • Check the pH. – High HCO3 indicates metabolic alkalosis in the presence of a high pH. – Low HCO3 indicates metabolic acidosis in the presence of a low pH.

What is normal PO2 on ABG?

Most healthy adults have a PaO2 within the normal range of 80–100 mmHg. If a PaO2 level is lower than 80 mmHg, it means that a person is not getting enough oxygen . A low PaO2 level can point to an underlying health condition, such as: emphysema.

What does low pCO2 mean?

What does a high pCO2 indicate?

PCO2 levels will directly affect the levels of acid in the blood. Increases above the levels indicated, could possibly mean that the CO2 is building due to hypoventilation or respiratory failure of some kind.

How do you distinguish between acidosis and alkalosis?

Acidosis occurs when blood pH falls below 7.35, indicating an increase in hydrogen ion concentration. Alkalosis occurs when blood pH rises above 7.45, indicating a reduction in hydrogen ion concentration.

How can you distinguish between respiratory metabolic acidosis and alkalosis?

Metabolic acidosis: patients who are acidotic and have a HCO3– <22 (base excess <–2); Respiratory acidosis: patients who are acidotic with a PaCO2 >6; Metabolic alkalosis: patients who are alkalotic with a HCO3– >28 (base excess >+2); Respiratory alkalosis: patients who are alkalotic with a PaCO2 <4.7.

What does high CO2 in ABG mean?

CO2 levels are reported on the ABG test as the partial pressure of carbon dioxide. PCO2 levels will directly affect the levels of acid in the blood. PCO2 normal – 35 to 45 mm Hg. Increases above the levels indicated, could possibly mean that the CO2 is building due to hypoventilation or respiratory failure of some kind …

How to interpret ABG results?

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 7.4

How to read An ABG result?

– This is usually the primary disorder – Remember: an acidosis or alkalosis may be present even if the pH is in the normal range (7.35 – 7.45) – You will need to check the PaCO 2, HCO 3 – and anion gap

How to determine ABG values?

Arterial Blood Gas (ABG) Analyzer. Interprets ABG. This analyzer should not substitute for clinical context. Sodium and chloride are required for anion gap calculation. While the analyzer can often help with analysis, the history of the patient is critical for accurate interpretation. NOTE: Normal albumin levels are typically 4 g/dL in US units

How to interpret ABG values?

For pH,the normal range is 7.35 to 7.45

  • For PaCO 2,the normal range is 35 to 45 mmHg (respiratory determinant)
  • For PaO 2,the normal range is 75 to 100 mmHg
  • For HCO 3,the normal range is 22 to 26 mEq/L (metabolic determinant)
  • Oxygen saturation,the normal range is 94–100%
  • Base excess,the normal range is –2 to+2 mmol/L