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WorksheetsLESSON: ARTERIAL BLOOD GAS
Total questions: 71
Worksheet time: 36mins
Arterial blood is to collect blood specimens for arterial blood gas analysis to manage cardiopulmonary disorders and maintain the acid-base balance of the body.
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Arterial puncture is an ideal specimen for the respiratory function evaluation due to the consistency of its composition and high oxygen content.
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Health workers who collect arterial specimens should have extensive skills and knowledge on the performance of the procedure, and should undergo periodic evaluation.
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The following personnel are the health workers who collect arterial specimen: an ideal specimen for the respiratory function evaluation due to the consistency of its composition and high oxygen content.
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The accuracy of the results of ABGs are easily affected by preanalytical error.
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The normal range of O2 saturation is 95%-98%.
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The normal range of pH is between 7.35 and 7.45.
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The normal range of PaCO2 is between 35-45 mm Hg.
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The normal range of PaO2 is 70-80 mm Hg.
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The normal range of HCO2 is 22-26 mEq/L.
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The normal range of Base excess is (-2)-(+2) mEq/L.
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PaCO2 is the partial pressure of O2 dissolved in arterial blood.
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PaO2 is the partial pressure of CO2 dissolved in arterial blood.
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O2 saturation is the percentage of O2 bound to hemoglobin.
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HCO2 is the measure of bicarbonate in the blood.
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Base excess is the measure of acidity or alkalinity of blood.
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pH is the calculation of the non-respiratory part of acid-base balance.
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The potential site can be evaluated by using a portable ultrasound instrument or by modified PAP test.
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One criteria in ABGs is that the vein should be accessible and large in size.
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The surrounding tissue of the puncture site should have high risk of being injured during the procedure.
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The area should be free from inflammation, irritation, edema, hematoma, lesion, and wound.
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There should be an AV shunt near the site or recent arterial puncture as a part of the criteria for ABGs.
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For babies, a possible arterial puncture site could be taken from their dorsalis pedis arteries.
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For adults, a possible arterial puncture site could be taken from their hair and scalp.
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Radial artery is the preferred artery for a large volume of blood.
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Brachial arteries have a less chance of hematoma formation.
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One of the advantages of femoral artery is that its where arterial sampling is possible.
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Radial artery is difficult to locate on patients w. hypovolemia or low cardiac output.
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Femoral artery has poor collateral circulation.
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Brachial arteries are deeper and harder to palpate.
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The identity of the patient is confirmed before the start of the test.
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The blood drawer should not explain the procedure and get expressed consent.
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The patient should be in a standing position for at least 5 minutes before the arterial puncture.
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For 5 minutes or until the patient’s breathing is stable, they should be resting in a comfortable position.
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The patient should be stable or in steady state for 20 to 30 minutes before the test is performed.
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A doctor's order is presented before anesthesia is used.
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To determine if the patient has collateral circulation, the modified allen test is performed prior to collection.
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You’ll know if the patient has collateral circulation when you use the modified allen test and the hand is not flush pink.
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The arterial puncture is an invasive procedure.
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It is used to collect blood specimens for arterial blood gas (ABG) analysis to manage cardiopulmonary disorders and maintain the acid-base balance of the body.
ARTERIAL PUNCTURE
ARTERIAL BLOOD
ARTERIAL BLOOD GAS
ARTERIAL GAS
It is an ideal specimen for the respiratory function evaluation due to the consistency of its composition and high oxygen content.
ARTERIAL PUNCTURE
ARTERIAL BLOOD
ARTERIAL BLOOD GAS
ARTERIAL GAS
It is the evaluation to diagnose respiratory disorders.
ARTERIAL PUNCTURE
ARTERIAL BLOOD
ARTERIAL BLOOD GAS
ARTERIAL GAS
Its evaluation provides information about the ff: oxygenation, ventilation, acid-balance w/c helps in the management of the disease.
ARTERIAL PUNCTURE
ARTERIAL BLOOD
ARTERIAL BLOOD GAS
ARTERIAL GAS
It is a measure of acidity or alkalinity of blood.
pH
PaO2
PaCO2
HCO2
It is the partial pressure of O2 dissolved in arterial blood.
pH
PaO2
PaCO2
HCO2
It is the partial pressure of CO2 dissolved in arterial blood.
pH
PaO2
PaCO2
HCO2
It is the measure of bicarbonate in the blood.
BASE EXCESS
O2 SATURATION
PaCO2
HCO2
It is the percentage of O2 bound to hemoglobin.
BASE EXCESS
O2 SATURATION
PaCO2
HCO2
It is the calculation of the non-respiratory part of acid-base balance.
BASE EXCESS
O2 SATURATION
PaCO2
HCO2
It is the site that gets blood supply from more than one artery.
MEDIAN CUBITAL
COLLATERAL CIRCULATION
CEPHALIC
BASILIC
What is used to evaluate a potential site?
PORTABLE ULTRASOUND INSTRUMENT
MODIFIED ALLEN TEST
Other sites for arterial puncture for adults.
MEDIAN CUBITAL
SCALP AND HAIR
DORSALIS PEDIS ARTERIES
HEEL
Other sites for arterial puncture for babies.
MEDIAN CUBITAL
SCALP AND HAIR
DORSALIS PEDIS ARTERIES
HEEL
It is the most commonly used artery puncture site and located in the thumb site of the wrist.
RADIAL ARTERY
BRACHIAL ARTERY
FEMORAL ARTERY
It is an artery puncture site located in the medial anterior of the antecubital fossa.
RADIAL ARTERY
BRACHIAL ARTERY
FEMORAL ARTERY
It is an artery puncture site located in the groin lateral to the pubic bone.
RADIAL ARTERY
BRACHIAL ARTERY
FEMORAL ARTERY
It is the artery that is small in size found on the arm and hand.
RADIAL ARTERY
BRACHIAL ARTERY
FEMORAL ARTERY
It is the artery that lies close to the basilic vein and median nerve.
RADIAL ARTERY
BRACHIAL ARTERY
FEMORAL ARTERY
It is the artery that lies close to the femoral vein and has an increased risk of infection due to location and pubic hair.
RADIAL ARTERY
BRACHIAL ARTERY
FEMORAL ARTERY
Administering this for young patients prevents adverse reactions.
ANESTHESIA
FOOD
WATER
WEED
It is the involuntary contraction of the artery.
ARTERY DAMAGE
ARTERIOSPASM
DISCOMFORT
INFECTION
It is the results from repeated punctures on the same site.
ARTERY DAMAGE
ARTERIOSPASM
DISCOMFORT
INFECTION
It is avoided by using local anesthesia.
ARTERY DAMAGE
ARTERIOSPASM
DISCOMFORT
INFECTION
You should observe proper preparation in the pre-analytical phase.
NUMBNESS
HEMATOMA
DISCOMFORT
INFECTION
It can be avoided by multiple punctures on a single site.
NUMBNESS
HEMATOMA
VASOVAGAL RESPONSE
INFECTION
It should be addressed and reported immediately to the nurse/physician.
NUMBNESS
HEMATOMA
VASOVAGAL RESPONSE
THROMBUS FORMATION
It must be reported to the nurse/physician.
NUMBNESS
HEMATOMA
VASOVAGAL RESPONSE
THROMBUS FORMATION
You’ll need to remove the needle, activate the safety device, maintain pressure over the site, and follow the syncope procedure.
NUMBNESS
HEMATOMA
VASOVAGAL RESPONSE
THROMBUS FORMATION
WHICH OF THESE ABG TEST RESULTS IS REQUIRED IN THE REQUISITION INFORMATIN?
pH
name
current body temperature
gender
ALL OF THE FF ARE REQUIRED ABG TEST RESULTS INFORMATIN EXCEPT ONE, WHICH IS IT?
prescribed flow rate in liters per minute
fraction of inspired oxygen
specific gravity
ventilation status
WHICH OF THE FF IS A CRITERIA FOR REJECTION FOR ABG SPECIMEN?
Clotted specimen
No air bubbles
Properly labeled
Proper syringe used
