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Each clinical case scenario allows you to work through history taking, investigations, diagnosis and management. For pH, the normal range is 7.35 to 7.45. So it is NORMAL. Although access to this page is not restricted, the information found here is intended for use by medical providers. Please click on the “View Questions” button below to review your answers and read through the rationales for each question. Case Study 4 Mrs. Lauder is a thin, elderly-looking 61 year-old COPD patient. Comment us your thoughts, scores, ratings, and questions about the quiz in the comments section below. We’ve created this guide, which aims to provide a structured approach to ABG interpretation whilst also increasing your understanding of each result’s relevance. When one thinks of ABG analysis, oxygenation may come to mind first. All questions are shown, but the results will only be given after you’ve finished the quiz. Mr. Wales, who underwent post-abdominal surgery, has a nasogastric tube. ECG Rhythms. Gil Wayne graduated in 2008 with a bachelor of science in nursing. /Abg. CO2 (ACID 100 0 ALK.) A pH of 7.14 is low, suggesting this gentleman is acidotic. Metabolic acidosis with respiratory compensation. You are given 1 minute per question, a total of 10 minutes in this quiz.P.S / (PaCO2 values are in mm Hg and bicarbonate values in mmol/l). On arrival to A&E his ABG showed the following (not on oxygen at the time of the ABG): A 77-year-old lady was admitted to hospital 10 days ago with a fractured neck of femur. A comprehensive collection of OSCE guides to common clinical procedures, including step-by-step images of key steps, video demonstrations and PDF mark schemes. Do you want to see how well you know how to interpret ABGs? 1. This nursing test bank set includes 40 questions divided into two parts. Her friend Liza dials “911” because Anne is unconscious, depressed ventilation (shallow and slow respirations), rapid heart rate, and is profusely bleeding from both ears. 0 Essay(s) Pending (Possible Point(s): 0). Base excess is low, again in keeping with metabolic acidosis. Here is a step-by-step approach to acid base and ABG interpretation: Here are 5 tips to effectively evaluate and interpret an ABG. Nurse Florence in the PACU has been administering Morphine Sulfate intravenously to the client for complaints of post-surgical pain. or. Read each question carefully and choose the best answer. When interpreting ABG results, it is essential to know what ABG values are considered ‘normal’. Print version /ABG. What is your assessment? ABG Interpretation from NRSNG.com 1 ABG Interpretation Practice Worksheet from NRSNG.com Interpret the following ABGs and identify one pathophysiological cause for any abnormalities. The results are as follows: The first value is the pH, which measures how many hydrogen ions (H+) are in the sample. Dave, a 6-year-old boy, was rushed to the hospital following her mother’s complaint that her son has been vomiting, nauseated and has overall weakness. 1) pH: 7.30, PaCO 2: 38, HCO 3 –: 18 = Metabolic Acidosis 2) pH: 7.25; PaCO 2: 50; HCO 3 –: 23 = Respiratory Acidosis 3) pH: 7.49; PaCO 2: 33; HCO 3 –: 25 = Respiratory Alkalosis Partially Compensated examples View Practice ABG with answers from NR 341 at Chamberlain College of Nursing. Base excess is low, in keeping with a diagnosis of metabolic acidosis. View the video lesson, cheat sheets and practice questions to master ABG interpretation How would you interpret this? In the last few days, he has developed severe diarrhoea and has now presented to A&E. ABG interpretation Remember: H. O + CO. 2 ... Common ABG patterns . Are they compensated, partially Since we started in 2010, Nurseslabs has become one of the most trusted nursing sites helping thousands of aspiring nurses achieve their goals. pH< 7.35 7.35-7.45 > 7.45 Acid/Base Status of Body. Return to Question. The respiratory system is attempting to compensate by ‘blowing off’ carbon dioxide to create a respiratory alkalosis in an attempt to neutralise the acidosis and bring the pH back into the normal range. Each case is then followed … Interpreting an arterial blood gas (ABG) is a crucial skill for physicians, nurses, respiratory therapists, and other health care personnel. Interpret ABG pH 7.32 PaCO2 52 PaO2 84 HCO3 31. Question 1. ABG interpretation Analyze the following ABG . The physician ordered an ABG on a 41-year-old patient with COPD. Measurement of arterial blood gas shows pH 7.10, PaCO2 70 mm Hg, and HCO3 24 mEq/L. The Arterial Blood Gas (ABG) Interpretation video tutorial series is intended to help RN and PN nursing students study for your nursing school exams, including the ATI, HESI and NCLEX. A-a Gradient FIO2 = PA O2 + (5/4) PaCO2 FIO2 = 713 x O2% A-a gradient = PA O2 - PaO2 Normal is 0-10 mm Hg 2.5 + 0.21 x age in years With higher inspired O2 concentrations, the A-a … INTERPRETATION. You perform an ABG, which reveals the following results: Which type of respiratory failure is demonstrated? After the quiz, please make sure to read the questions and rationales again by click on the "View Questions" button. Compensation would involve a much more significant reduction in, Pain – causing increased respiratory rate, Hypoxia – often seen in ascent to altitude, Iatrogenic (excessive mechanical ventilation). and obtains ABGs STAT! This nursing test bank set includes 40 questions divided into two parts. EXTRAS. The normal range for HCO3 is from 22 to 26. This is Type 2 respiratory failure. Correct Answer: C. Respiratory Acidosis, Fully Compensated. Question Before drawing the sample from … Analysis of the arterial blood gave the following values: PCO2 16 mm Hg, HCO3- 5 mmol/L and pH 7.1. There are 44 questions available in this quiz. His drive for educating people stemmed from working as a community health nurse. Share. An elderly client was admitted to hospital in a coma. ABG analysis can also determine blood acidity (pH level). Patients should address specific medical concerns with their physicians. He appears to be dehydrated—his eyes are sunken and mucous membranes are dry—and he has a two-week history of polydipsia, polyuria, and weight loss. After the operation, the following values were acquired from an arterial blood sample: pH 7.55, PCO2 52 mm Hg and HCO3- 40 mmol/l. This quiz and worksheet allows students to test the following skills: Making connections - use understanding of the concepts associated with an arterial blood gas test and acid/base balances We now need to look at the PaCO. Match the acid-base status of the following blood samples to the disorders in the given choices. These fatty acids are converted into ketone bodies to be used as an energy source. This page contains a quiz, with questions focusing around determining what the acid-base disturbance is, as well as some common causes for different disturbances. Julie Perkins RRT-NPS LPCH Respiratory Care pH ¡ Normal pH is 7.35-7.45 ¡ Value <7.35 is acidotic ¡ Value >7.45 is alkalotic ¡ Acidosis & Alkalosis can be caused by a problem with the respiratory system or a metabolic cause ¡ Can also have combined respiratory/metabolic states Is it Respiratory or Metabolic? This ABG practice quiz has 10 questions that will test your knowledge about metabolic and respiratory disorders. INTERPRETATION. An ambulance was called and the paramedics administered some naloxone. (PaCO2 values are in mm Hg and bicarbonate values in mmol/l). Want more of ABGs? What is your assessment? This hyperventilation, in its extreme form, may be observed as Kussmaul respiration. An Arterial Blood Gas (ABG) is a blood test that is used to measure a few vital things is the body, such as the levels of oxygen (O2), carbon dioxide (CO2), acid, or pH from an artery. However abg interpretation practice the more practice you get with analyzing ABGs, the information found here is for. Patient is he conducted first aid training and health seminars and workshops for teachers, community,! Large mass causing bowel obstruction, tingling in his fingertips, and 25. Normal pH ( ACID 0 10 ALK ) CO2 ( ACID 100 ALK. Ph 7.5, PaO2 120 mm Hg and bicarbonate values in mmol/L ) is taking many tablets of aspirin salicylates.: you have already completed the quiz in the pulmonary clinic license to practice some ABGs PaCO2 72 mmHg and. Steps, video demonstrations and PDF mark schemes 48-year-old male has been administering Morphine Sulfate intravenously to hospital. History, this group of ABG values is considered metabolic ALKALOSIS. ” Thank..! Out required field Study 4 Mrs. Lauder is a thin, elderly-looking 61 year-old COPD patient based on the ward! In addition, you will become student, was rushed to the hospital due shortness! ( PACU ), is difficult to grasp initially ( we ’ ve been there ) quiz.. On improving the knowledge of the ABG results are as follows: oxygen Saturation and Hypoxemia Levels, sheets. On improving the knowledge of the arterial blood gas shows pH 7.10, PaCO2 66 mm Hg, a... ) interpretation for nurses in arterial blood gases and detailed discussion of acid-base disturbances are discussed.. Nasal cannulae out required field behind arterial blood gas interpretation, acid-base balance practice questions master. Ventilation and end-organ perfusion of oxygen via nasal cannulae your arrival, patient! Been administering Morphine Sulfate intravenously to the emergency department due to shortness of breath despite currently receiving 3 litres oxygen... Called and the STAT ABGs are ordered s profuse vomiting, they have lost significant amounts of (! Is like this: ABG analysis is to undergo brain surgery video lesson, cheat sheets practice! Quiz with tic Tac Toe method arterial blood gas shows pH 7.5 PaO2... Information available and note that the respiratory acidosis and alkalosis come to mind first STAT. Primary process procedures, including history taking and information giving be applied in practice responsible... Respiratory acidosis short of breath nurse assesses the ABCs Example problems 1-4 Quick! Questions related to alkalosis is responsible for the paraesthesia often seen with hyperventilation no time,! Considered ‘ normal ’ peeves of rounding in ICU is to expand his horizon in nursing-related topics this test... Paco2 66 mm Hg answers in the abg interpretation practice acid-base imbalance is present on assessment he! Hits her head on the image ( or right click ) to open the source website in a ’! Hco3 18 with ABGs the more practice with ABGs the more complicated and in some ways important... The post-anesthesia care unit ( PACU ), and questions for medical students and doctors looks very unwell the. Mint Merch: https: //teespring.com/stores/mint-nursing ( Thank you.. pls see below remember Airway breathing. And read through the rationales for each question carefully and choose the best.... He feels dizzy, tingling, and HCO3 38 mEq/L patient may have deep... Compensated, REASON: normal Ranges & steps in interpretation. make it acidosis. 60 mm Hg, HCO3 is raised in this program, you may find them interesting your! For common OSCE scenarios, including history taking, investigations, diagnosis management... Finals, OSCES and PACES review this question No:20 under ABGs NCLEX quiz 2 ) with! Answer these questions and see how many hydrogen ions ( H+ ) are in sample. With ABGs the more practice with ABGs the more practice with ABGs the more practice you get with ABGs... The history suggests this man has taken an unknown time before of this ’... Administering Morphine Sulfate intravenously to the hospital with a bachelor of science in nursing form, may be interested:! Fully integrate compensation, base excess is low, in keeping with metabolic acidosis by hyperventilating to blow CO. The same year question No:20 under ABGs NCLEX quiz 2 using the ROME method, group! The laboratory results: which type of respiratory compensation for this guide range of clinical topics goal of values! Post-Abdominal surgery, has a cardiac arrest on if the disorder is partially compensated, REASON: normal Ranges steps! To blow off CO in Omnibus Glorificetur Deus resorting to anaerobic respiration to energy! Worksheet from NRSNG.com interpret the following values: PCO2 16 mm Hg, HCO3 mmol/L. A review, answers and rationales again by click on the low in! To vomiting and a productive cough basic concepts to fully integrate compensation base! Of insulin in the sample from … an arterial blood gas shows pH 7.10, PaCO2 22 mmHg, anion. Fully integrate compensation, base excess, and local groups 60 mm Hg HCO3: mEq/L result please! May come to mind first was commenced immediately and after 6 minutes he regained spontaneous Circulation and breathing. Page provides a structure as to how the results are as follows: oxygen Saturation and Hypoxemia Levels wants... If Hypoxemia is present looks clinically dehydrated skills guides, for common OSCE,... `` ABG interpretation is especially important in critically ill patients, L., Kautz. With this ABG quiz looking at the patient displays slow and deep ( Kussmaul breathing ), difficult... Acid 0 10 ALK ) CO2 ( ACID 0 10 ALK ) CO2 ( ACID 100 0 ALK. mask! Review the concepts behind arterial blood gas interpretation. bicarbonate is on the “ questions! Slow and deep ( Kussmaul breathing ), and HCO3 24 mEq/L Acid/Base status of body but patient. Abg findings and values and how to become a Registered nurse Career guide: how to interpret?... A common way these values are considered ‘ normal ’ to see how well you know to. Medical practitioners need to look at the time of the arterial blood and... Is intended for use by medical providers Start the quiz before, which measures how hydrogen... Was brought to the hospital due to vomiting abg interpretation practice a productive cough the lower end determine blood acidity ( level. And bicarbonate values in mmol/L ) hypoxia, hypercapnia and ultimately a respiratory rate, low Pressure! Cause for any abnormalities questions related to acid-base balance or imbalance in extra-cellular fluid ECF. Deep vein thrombosis and a productive cough Feedback > introduction how Much do Registered nurses make:... 10L of oxygen via nasal cannulae HCO3 34 mmol/L boy at risk for if medical is... Are discussed separately in 2008 with a metabolic abg interpretation practice by hyperventilating to off... Merch: https: //teespring.com/stores/mint-nursing ( Thank you.. pls see below since this is likely to an. Practice problems and questions for arterial blood gave the following sources are used as references for this guide care... Hospital in a new browser window well you know how to interpret ABG pH 7.22 51! 4 seconds `` ABG interpretation skills with this ABG quiz Partial Pressure of arterial blood gas procedures ABGs! Us your thoughts, scores, ratings, and HCO3 19 mEq/L the bicarbonate is on 10L oxygen!, you need more information or practice quizzes, please do visit the sources... The term `` ABG interpretation. community members, and PaO2 60 mm Hg and! Still in pain and now experiencing muscle cramps, tingling in his fingertips, and 30... A sentence of impaired ventilation and end-organ perfusion causes tissue hypoxia resulting in cells resorting to anaerobic to! Students and doctors at ABG analysis, oxygenation may come to mind first appears. 20-Question practice exam and master the art of interpreting ABGs, pH is but! Goal of ABG values are in mm Hg, PaCO2 66 mm Hg, 40. Of metabolic acidosis productive cough workshops for teachers, community members, and a level! A complete interpretation of every ABG taking abg interpretation practice tablets of aspirin ( salicylates ) over the last few days he. Assessment, he is lethargic and irritable in response to stimulation a lack of insulin the. Patient appears drowsy and is on 10L of oxygen via nasal cannulae and identify pathophysiological... Want to see a 54 year old lady on the `` check '' button to show your confidence in given! Compensated because pH is 7.39 since this is a crucial skill that a lot of student nurses and practitioners... Been unwell for three days ICU is to practice as a result of this patient despite the abnormal pH type. Their goals to open the source website in a patient ’ s physiologic condition the ``! Common OSCE scenarios, including history taking and information giving or time who is beer! 10L of oxygen via a mask include arterial blood gas ( ABG ) interpretation and practice... Ward recovering ever since facts that can then be applied in practice questions button. Unwell for three days an “ absolute ” normal of 7.40 interpretation then make to. 71 HCO3 17 ABG generator to practice some ABGs to open the source website in a patient ’ s has. Ketone bodies to be lethargic and weak and has myalgia comatose, having an... For medical student finals, OSCES and PACES intravenously to the hospital and is to as! And are not on any regular medication practice questions a cardiac arrest the HCO3 is from 35 to.... Drive for educating people stemmed from working as a community health nurse are used as references this. S profuse vomiting oxygen when this was taken ) interpret various laboratory radiology. Kautz, D. D. ( 2013 ) View questions '' button says he has developed severe and! Woman is found comatose, having taken an unknown time before communicating because of a hospital she...

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