Arterial Blood Gas Interpretation | How I Learned ABGs

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Arterial Blood Gas Interpretation | How I Learned ABGs
This patient’s lungs were so bad, gas exchange had to take place outside of his body... Learning to read ABGs, and understanding what to do with that information is a very important skill for any nurse, but particularly a cardiovascular ICU nurse.
Free ABGs Quiz: bit.ly/FreeABGsQuiz
ABGs Lesson: bit.ly/ABGsLesson
Hi I am Nurse Abby, and I loved working in the cardiovascular ICU - that was truly one of my favorite nursing jobs. Today I want to share with you the story of one of my MORE complicated patients.
00:00 Introduction
00:26 Nurse Abby Introduction
00:40 ABG Patient Story
01:56 ECMO key focus areas
03:58 The Problem Identified
05:01 ABG Interpretation Challenge
05:47 Respiratory Acidosis Explained
07:07 ABGs normal lab values
07:44 ABG Free Quiz
08:13 Acidosis- The why
09:47 Intervention Identified
12:19 How I got through Nursing School
12:58 Outro
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[@barbarasaint4657]

Awesome lesson, Abby! Thanks

[@latifqureshi5246]

V informative thank you dear

[@user-nk9me3uz2j]

Thanks 👍👍👍

[@NRSNG]

Welcome 👍

[@anabarbosa5453]

Why are ABG taken in 4/4hours? and why more frequently? ... I mean, to ask why that period of time, like why not in 6/6hours or 8/8hours? And what would be the smallest period of time to take an ABG? 30minutes between one and another? (I hope it is not a dumb question)

[@nwabuezejennifer1719]

I think it's based on the severity of the patient's case.

[@user-tg8qh5wj6q]

That's not a dumb question at all! When a patient's acid/base and oxygenation status on ECMO have stabilized, the ABG is taken q4h to keep an eye on things, and basically match it up with the q4h head to toe assessment performed routinely in the ICU. Otherwise, when any changes are made to the ventilator settings, or ECMO, ABGs will be drawn more frequently to monitor how the changes may have affected the values. It's typical to wait 15 minutes after a change to draw an ABG to give time for the changes to take effect, and so those changes are more likely to be reflected on the ABG report.