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Interpretation of the Arterial Blood Gas
Self-Learning Packet

* See SWIFT for list of qualifying boards for continuing education hours.

Arterial Blood Gas Interpretation

Table of Contents
Purpose ................................................................................................................... 3 Objectives................................................................................................................ 3 Instructions.............................................................................................................. 4 Introduction ............................................................................................................. 5 Acid-BaseBalance..................................................................................................... 5 Acid-Base Disorders .................................................................................................. 6 Components of the Arterial Blood Gas ...................................................................... 10 Steps to an Arterial Blood Gas Interpretation............................................................. 11 Compensation........................................................................................................ 15 Special Considerations............................................................................................. 22 Summary ............................................................................................................... 23Glossary................................................................................................................. 24 Posttest ................................................................................................................. 26 Bibliography ........................................................................................................... 29

 Copyright 2010 Orlando Health, Education & Development

Page 2

Arterial Blood GasInterpretation

Purpose
The purpose of this self-learning packet is to educate patient care providers on the basic principles of acid-base balance, as well as to provide a systematic approach to the interpretation of arterial blood gases. Orlando Health is an Approved Provider of continuing nursing education by the Florida Board of Nursing (Provider No. FBN 2459) and the North Carolina NursesAssociation, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation (AP 085).

Objectives
After completing this packet, the learner should be able to: 1. Describe the physiology involved in the acid/base balance of the body. 2. Compare the roles of PaO2, pH, PaCO2 and Bicarbonate in maintaining acid/base balance. 3. Discuss causes and treatments ofRespiratory Acidosis, Respiratory Alkalosis, Metabolic Acidosis and Metabolic Alkalosis. 4. Identify normal arterial blood gas values and interpret the meaning of abnormal values. 5. Interpret the results of various arterial blood gas samples. 6. Identify the relationship between oxygen saturation and PaO2 as it relates to the oxyhemoglobin dissociation curve. 7. Interpret the oxygenation state of apatient using the reported arterial blood gas PaO2 value.

 Copyright 2010 Orlando Health, Education & Development

Page 3

Arterial Blood Gas Interpretation

Instructions
In order to receive 2.0 contact hours, you must:   complete the posttest at the end of this packet achieve an 84% on the posttest

For Non-Orlando Health employees: Complete the test using the bubble sheet provided. Besure to complete all the information at the top of the answer sheet. You will be notified if you do not pass, and you will be asked to retake the posttest. Return to: Orlando Health Education & Development, MP14, 1414 Kuhl Ave, Orlando, FL 32806 For Orlando Health Team Member: Please complete testing via Online Testing Center. Log on to: SWIFT Departments E-Learning Testing Center. Use your...
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