Abg

  • November 2019
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‫بسم الله الرحمن الرحيم‬ ‫ل ما علمتنا‬ ‫قالوا سبحانكل علم لنا إ‬ ‫”‬ ‫إنك أنت العليم الحكيم“‬ ‫صدق الله العظيم‬ ‫سورة البقرة ايه ‪32‬‬

Indications I-Respiratory Diseases severe pneumonia Status Asthmatics ARF-5

2-RDS-1 4- Acute bronchiolitis-2

II-Cardiac Diseases Severe HF-1 )Critical Cases )blue spell-2

)III-Metabolic Diseases )Electrolytes Severe GE DKA-2

:IV-POISING Salicylates

3-ARF-1

Symbols S

Saturation of hemoglobin

A

Alveolar gas

P

Partial pressure=tension

a

Arterial

V

Ventilation

Q

COP

Pao2=partial pressure of oxygen in arterial blood

OXYGENATION-1 VENTILATION-2 ACID BASE STATUS-3

OXYGENATION-1



>80 mmHg 60-79 mmHg 50-59 mmHg <50 mmHg

PaO2 Normal Mild Moderate Severe

oxygenation hypoxemia hypoxemia hypoxemia

VENTILATION-2

   

Pa CO2 Normal ventilation mmHg 35-45= Hyperventilation mmHg 35 > Hypoventilation mmHg 45 < Respiratory failure mmHg 50 <

ACID BASE STATUS-3 A-Acidosis or Alkalosis pH  Normal acid base status 7.35-7.45=  Alkalosis 7.45<  Acidosis 7.35> B-Respiratory or Metabolic Alteration of CO2 Respiratory Alteration of HCO3 Metabolic

An infant 1y presenting with mild RD PARAMETER

PATIENT

INTERPRETATION

NORMAL

O2 mmHg CO2 mmHg PH HCO3 mEq/L

90 40 7.38 23

80-90

N

Normal oxygenation

35-45

N

Normal ventilation

7.35-7.45

N

Normal acid-base status

22-26

N

No metabolic alteration

NORMAL ABG

An infant 1y presenting with moderate RD PARAMETER

PATIENT

INTERPRETATION

NORMAL

O2 mmHg CO2 mmHg PH HCO3 mEq/L

75 40 7.38 23

80-90



MILD HYPOXEMIA

35-45

N

Normal ventilation

7.35-7.45

N

Normal acid-base status

22-26

N

No metabolic alteration

MILD HYPOXEMIA

An infant 1y presenting with HPS PARAMETER

PATIENT

INTERPRETATION

NORMAL

O2 mmHg CO2 mmHg PH HCO3 mEq/L

90 40 7.58 33

80-90

N

Normal oxygenation

35-45

N

Normal ventilation

7.35-7.45



ALKALOSIS

22-26



METABOLIC

METABOLIC ALKALOSIS

An infant 1y presenting with severe RD PARAMETER

PATIENT

INTERPRETATION

NORMAL

O2 mmHg CO2 mmHg PH HCO3 mEq/L

90 50 7.08 23

80-90

N

Normal oxygenation

35-45



HYPOVENTALATION

7.35-7.45



ACIDOSIS

22-26

N

No metabolic alteration

RESPIRATORY ACIDOSIS

An infant 1y presenting with JDM PARAMETER

PATIENT

INTERPRETATION

NORMAL

O2 mmHg CO2 mmHg PH HCO3 mEq/L

90 40 7.18 10

80-90

N

Normal oxygenation

35-45

N

Normal ventilation

7.35-7.45



ACIDOSIS

22-26



METABOLIC

METABOLIC ACIDOSIS

An infant 1y presenting with aspirin poising PARAMETER

PATIENT

INTERPRETATION

NORMAL

O2 mmHg CO2 mmHg PH HCO3 mEq/L

90 20 7.58 24

80-90

N

Normal oxygenation

35-45



HYPERVENTILATION

7.35-7.45



ALKALOSIS

22-26

N

NOT METABOLIC

RESPIRATORY ALKALOSIS

Significance I-Diagnostic Assess severity of disease 2-Diagnose 1ry disorder-1

II-Therapeutic Hypoxemia-1 O2 therapy Ventilatory status-2 assess ventilation Metabolic A-B imbalance-3 add alkali or acid

III-Prognostic & Follow up .Assess ventilation

2-Response to ttt-1

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