Beruflich Dokumente
Kultur Dokumente
Virgina D.S.
1015038
imbalances while
Kidney: regulate the balance of H + ions to
eliminate imbalances H + concentration is
slow; there is a phosphate buffer system and
ammonia
Lungs: respond quickly to changes in the levels
of H + in the blood and maintain the levels to
kidney eliminating the imbalance
Respiratory acidosis
Hypoventilation H2CO3H + CO2 retention
2.
Respiratory alkalosis
Hyperventilation CO2 many missing H2CO3 H +
3.
Metabolic acidosis
Diarrhea, DM HCO3- PCO2 H +
4.
Metabolic alkalosis
Vomit H + HCO3- PCO2
faal_cairan-asam-basa/ikun/2006
faal_cairan-asam-basa/ikun/2006
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11
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Nomogram Davenport
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BGA Interpretation
BLOOD pH
pH < 7,35
< 40mmHg
METABOLIC
pH > 7,45
ACIDOSIS
ALKALOSIS
see pCO2
see HCO3-
> 40 mmHg
< 24 mM
RESPIRATORIC RESPIRATORIC
> 24 mM
METABOLIC
BGA Defintion
Blood gas analysis (BGA) is one of the measures aimed
BGA Purpose
Assess respiratory function (ventilation)
Assess oxygenation capacity
Assess acid-base balance
Knowing the state of O2 and cell metabolism O2 and CO2
exchange
efficiency to determine the levels of CO2 in the body
Obtain arterial blood for blood gas analysis or other
diagnostic tests.
BGA Indication
Patients with chronic pulmonary obstructive disease
Patients with pulmonary edema
Patients acute respiratory distress syndrome (ARDS)
myocardial infarction
pneumonia
shock patients
Post surgery coronary artery baypass
Resuscitation from cardiac arrest
BGA Benefts
For the diagnosis and management: respiratory disease,
artery
BGA Procedure
dispossible syringe.
10 ml heparin, 1000 units / ml (multi-dose).
Needle number 22 G or 25 G for children), 20 G / 21 G
(for adults)
Alcohol swab.
sterile gauze
Write down label the patient's name, room number, the
temperature of the patient's temperature, date and time of
retrieval, the method of administration of oxygen, and the
name of the nurse in charge of the action.
Gloves
Plaster and scissors
BGA Procedure
1. Preparation appliance.
2. Inform patients about the purpose and the procedure
3. Choosing arteries:
a. radial artery;
b. dorsalis pedis artery;
c. brachial artery;
d. femoral artery
BGA interpretation
BGA Interpretation
1. pH -> describe the acid-base balance in
the body. Normal values of serum pH:
Normal Value: 7:35 to 7:45
Critical value: <7:25 to 7:55
Clinical implications:
- Decreased: acidemia
- Rising: alkalemia
When evaluating the value of pH, PaCO2 and
HCO3 should be known also to estimate
the components that affect the respiratory
or metabolic acid-base status.
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