ICU必备课件.ppt
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参见附件(178kb)。
ABG INTERPRETATION
Debbie Sander PAS-II
Objectives
What is an ABG
What Is An ABG?
Acid/Base Relationship
Case Study No. 1
60 y/o male comes ER c/o SOB.
Tachypneic, tachycardic, diaphoretic and
Cyanotic. Dx acute resp. failure and ABG's
Show PaCO2 well below nl, pH above nl,PaO2 is very low. The blood gas document
Resp. failure due to primary O2 problem.
Case Study No. 2
Buffers
Respiratory Component
Metabolic Component
Acid/Base Relationship
Normal ABG values
AcidosisAlkalosis
Respiratory Acidosis
Causes of Respiratory Acidosis
Metabolic Acidosis
Causes of Metabolic Acidosis
Respiratory Alkalosis
Causes of Respiratory Alkalosis
Metabolic Alkalosis
Causes of Metabolic Alkalosis
How to Analyze an ABG
Four-step ABG Interpretation
Four-step ABG Interpretation
Four-step ABG Interpretation
Four-step ABG Interpretation
~ PaCO2 - pH Relationship
ABG Interpretation
ABG Interpretation
Respiratory Acidosis
Respiratory Alkalosis
Metabolic Acidosis
Metabolic Alkalosis
What are the compensations?
Mixed Acid-Base Abnormalities
ABG Results
Case study No. 4
Case study No. 5
Case study No. 6
Case study No. 7
Case No. 7 cont'd
Case No. 7 cont'd
Case study No. 8
Case No. 8 cont'd
Case No. 8 cont'd
Case No. 8 cont'd
Case study No. 9
Case study No. 10
Case No. 10 cont'd
Take Home Message:
It's not magic understanding ABG's, it just takes a little practice!
Any Questions?
References
Practice ABG's
Answers to Practice ABG's
ABG INTERPRETATION
Debbie Sander PAS-II
Objectives
What is an ABG
What Is An ABG?
Acid/Base Relationship
Case Study No. 1
60 y/o male comes ER c/o SOB.
Tachypneic, tachycardic, diaphoretic and
Cyanotic. Dx acute resp. failure and ABG's
Show PaCO2 well below nl, pH above nl,PaO2 is very low. The blood gas document
Resp. failure due to primary O2 problem.
Case Study No. 2
Buffers
Respiratory Component
Metabolic Component
Acid/Base Relationship
Normal ABG values
AcidosisAlkalosis
Respiratory Acidosis
Causes of Respiratory Acidosis
Metabolic Acidosis
Causes of Metabolic Acidosis
Respiratory Alkalosis
Causes of Respiratory Alkalosis
Metabolic Alkalosis
Causes of Metabolic Alkalosis
How to Analyze an ABG
Four-step ABG Interpretation
Four-step ABG Interpretation
Four-step ABG Interpretation
Four-step ABG Interpretation
~ PaCO2 - pH Relationship
ABG Interpretation
ABG Interpretation
Respiratory Acidosis
Respiratory Alkalosis
Metabolic Acidosis
Metabolic Alkalosis
What are the compensations?
Mixed Acid-Base Abnormalities
ABG Results
Case study No. 4
Case study No. 5
Case study No. 6
Case study No. 7
Case No. 7 cont'd
Case No. 7 cont'd
Case study No. 8
Case No. 8 cont'd
Case No. 8 cont'd
Case No. 8 cont'd
Case study No. 9
Case study No. 10
Case No. 10 cont'd
Take Home Message:
It's not magic understanding ABG's, it just takes a little practice!
Any Questions?
References
Practice ABG's
Answers to Practice ABG's
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