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ABGs and Physical Assessments

reinforce basic ABG values, definitions and interpretaions; review physical assessment findings

AB
pHreflects acid/base balance
PaCO2respiratory component of the acid/base determination
PaO270-100
HCO3renal component of the acid/base equililibrium
SpO2pulse oximiter reading
cracklesatelectasis or fluid overload as in CHF
stridorparial upper airway obstruction
silibant wheezemade with bronchial contstriction
sonorous wheezerhonchi- large bronchi may have fluid in them
+JVDsign of or fluid overload or CHF
pedal edemamost often a sign of fluid overload or CHF
metabolic acidosisrenal disease or DKA
respiratory acidosishypoventiation from any cause
metabolic alkalosisprolonged vomiting or diarhea
respiratory alkalosishyperventialtion from any cause
first sign of hypoxianew onset of anxiety,irritability,confusion or memory loss
retractionsassessment finding when the person attempts to increase the size of their rib cage when in respiratory distress
pH 7.30; pCO2 55; pO2 75; HCO3 24respiratory acidosis
pH 7.50; pCO2 30; pO2 100; HCO3 25respiratory alkalosis
pH 7.31; pCO2 40; pO2 80; HCO3 18metabolic acidosis
pH 7.51; pCO2 45; pO2 88; HCO3 33Metabolic alkalosis
starvationresults in excessive metabolic acid produciton
hyperventialtionresults in blowing off excess acid or CO2
prolonged NG suctioningresults in excessive metabolic acid removal
CVA resulting in irregular breathing and stridorresults in an increase of CO2 in the blood
SOB when walking to the bathroomDOE
awakens SOB everynightPND
highest FiO2 availabe by maskNRB
inspect for a RR of 40perormed first when asssessing the respiratory system and is a normal respiratory rate for an infant
pain with inspriation resulting in hypoventilationoften described as splinting respirations
green sputum producedproductive cough
aspiration may occurCVA that affects the normal action of the epiglottis



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