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Arterial/Venous Blood Gas

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Steps for running an ABG

  1. Draw blood up in a heparinized tube.

    ABG1

  2. Go to an ABG machine.

  3. Click on the type of blood gas you need.

  4. Enter the code for the ABG machine.

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  5. Enter the visit ID (NOT the MRN) or scan the barcode on your sticker with the barcode reader. The computer will load demographics automatically.

    ABG4

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  6. The machine will prompt you to begin aspirating the sample.

  7. Place the sampler into your heparinized tube as below and click ok.

    ABG9

    ABG8

  8. Do not throw the blood sample away until you have results. Once the analysis is complete, the machine will print the results out for you as well as upload them directly onto Epic.

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Interpretation

  1. A 1 mm Hg change in PaCO2 results in a 0.008 unit change in pH in the opposite direction.
  2. Every 1 mEq/L reduction in [HCO3-] will decrease the PaCO2 by 1 mm Hg.
  3. Every 1 mEq/L change in [HCO3-] will change the pH by 0.015 units in the same direction.