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ABG education document


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All Credit is to be given to Orlando Regional Healthcare, Education & Development.

Document is an overview of interpreting ABG results. This is good basic background information. I learned some things or two from this.

Enjoy

Website http://orlandohealth.com/pdf%20folder/Inter%20of%20Arterial%20Blood%20Gas.pdf

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Nice find bro... saved to education file.

Another step closer to being able to carry on a conversation with squint :thumbsup:

Thank you for that link, Ruff - that is an excellent resource! I have saved it as well... I would give you a point if I could...

And Mobey, I will never be able to carry on a medical convo with squint... he is wayyy too smart for me. I do wish I could link my brain to his, like downloading information from a laptop to a USB, and get some of that medical info... although I am positive I would have to run a virus scan after to ensure I didn't get any bad porn links or anything...

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mobey, said:

Nice find bro... saved to education file. Another step closer to being able to carry on a conversation with squint

Hmm ok ... :shiftyninja:

Thank you for that link, Ruff - that is an excellent resource! I have saved it as well... I would give you a point if I could...

And Mobey, I will never be able to carry on a medical convo with squint... he is wayyy too smart for me. I do wish I could link my brain to his, like downloading information from a laptop to a USB, and get some of that medical info... although I am positive I would have to run a virus scan after to ensure I didn't get any bad porn links or anything...

Firstly :blush: and no not way smart I can't balance my check book and thank you for on link banking ! A USB port well more like 2 Timmys used LDD cups and a string. BTW I had my personal brain hard drive cleaned, shaved, rebooted, virus scanned, malware removed only cost $500. What a deal ..... :iiam: Oh look something shiny, :confused: so what were we talking aboot ?

Well I will give a :thumbsup: to Ruff very well done and great find, my only complaint the ODC (O2 disassociation curve) one on this link only explains shift lots better on line to goggle. :thumbsup: Thats ODC not OCD ... brb have to go wash my hands again.

There is a simple memorization trick (shift) to this and if I am begged I will try to reproduce it, fact is that delivery to the tissues with O2 is better measured by SPO2 as opposed to SaO2 the latter is a calculated based on lots of crap.... but very important when one gets into the ICU and Swan level stuff... thing boils down to can you affect ODC shift ... well not really a lot in the field.

So when evaluating any ABG result.

1- look at O2 (lets call that the respiration / oxygenation part)

2- look at PaCO2 and PH together and interaction (lets call that the (ventilation part).

The complexity of interpreting ABG is always been a concern from a teaching point of view as it is multi factorial interactions and historically mystified, there are numerous ways of going about teaching this topic. Personally I had a hard time with maths in school, my instructors would look at me in Lung School because they WERE friken dang smart like doctorates in chemistry and they just couldn't understand why I could not pick up what they were laying down.

Being a overbearing verbal interactive learner was a challenge to the "Brainiacks " This is why I can now teach it now just a few principles and away you go. That said ABG interpretation and interaction, when Ventilators is involved a whole diff ball 'O' ear wax. (can I say wax here ?) annie your sooo bad and you stared this I am sooo shocked ! < insert smiley with halo)

So What do you Have ... Where do you need to GO ?

I would add to this most excellent find but the Bicarb values are not actually "measured" values, the plastic brain (ABG machine) well the modern ones do that, in old days we had to calculate with special slide rules now it does the calculation for you, WHEW !

Honestly I rarely look at BiCarb, except in base deficit and when VENTILATOR adjustments can not achieve a non life threatening disorder correction in PH with Bicarb drips and very rarely used "acidic type drips" btw metabolic alkalosis is rare as hens teeth ie pick "C" drugs (so the Guessing game just got way easier on the multiple guess exams) does BiCarb it help in interpretation maybe for some but understanding the weak buffer base balance and direct relashonship between PaCO2 and PH is far better and easier in the long run, Carbonic acid and H20.

About Time we had an ABG thread.

cheers to be continued but jeepluv77 says I am way too long winded ....... :shutup:

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