BLOOD GAS INTERPRETATION

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THIS IS ONLY FOR ARTERIAL SAMPLES. THIS IS AN EDUCATIONAL RESOURCE AND NOT A GUIDELINE.

D R . D AV I D LY N E S S
1. ENSURE ADEQUATE OXYGENATION - pO2
2. ACIDAEMIA = pH <7.35       ALKALAEMIA = pH > 7.45
3. ASSESS RESPIRATORY COMPONENT - pCO2
4. ASSESS METABOLIC COMPONENT - BICARB

 'ROLL' YOUR ABG SAMPLE  TO STOP CLOTS FORMING.

IF THERE IS A METABOLIC ACIDOSIS
CALCULATE THE ANION GAP:
([Na] + [K])  -  ([Cl] + [Bicarb])
USE THE VALUES ON YOUR ABG RESULT
BETWEEN 8 - 16mEq/L IS NORMAL
IF LOW - CHECK ALBUMIN
IF HIGH, CONSIDER CAUSES:
G  = Glycols (ethylene and propylene)
O= Oxoproline (pyroglutamic acid)
L = L-lactate
THIS IS AN EDUCATIONAL RESOURCE, NOT A GUIDELINE OR CLINICAL DOCUMENT

D= D-lactate
M = Methanol
A= Aspirin
R = Renal failure (Uraemia)
LISTS  OF CAUSES NOT EXHAUSTIVE K = Ketoacidosis (Diabetic,AlcoholicandStarvation)
MANY PATHOLOGIES CAN  CAUSE RESPIRATORY ALKALOSIS VIA HYPERVENTILATION/TACHYPNOEA

CORRELATE THE ABG TO THE

PATIENT IN FRONT OF YOU.
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