Quiz complete. I also have practice questions on my website that you can work through independently. Hence you can not start it again. Arterial Blood Gas Interpretation Quiz. Cancel OK . An ABG is performed and reveals the following: A 64-year-old man is admitted to A&E with central crushing chest pain. An ABG is a blood test that measures the acidity, or pH, and the levels of oxygen (O2) and carbon dioxide (CO2) from an artery.² The test is used to check the function of the patient’s lungs and how well they are able to move oxygen into the blood and remove carbon dioxide. There is no evidence of respiratory compensation for this metabolic acidosis (e.g. ↓ CO. Base excess is normal, suggesting there has been no addition of bicarbonate to cause the alkalosis, ruling out the metabolic system as the cause. Her friend Liza dials “911” because Anne is unconscious, depressed ventilation (shallow and slow respirations), rapid heart rate, and is profusely bleeding from both ears. What does this mean? This test is used to check the function of the lungs, and how well they are able to move oxygen into the blood and eliminate carbon dioxide. Hyperventilation ↑ ↓ N ↑ Respiratory alkalosis (lungs overdrive) Stable chronic COPD N ↑ ↑ ↓ Fully compensated respiratory acidosis + T2 RF (hypoxic drive) Tic Tac Toe Method Arterial Blood Gas (ABG) Interpretation for Nurses & Nursing Students. 3 litres of oxygen is equivalent to 32%, we would, therefore, expect a PaO, A pH of 7.51 is abnormally high and therefore the patient is, The next step is to figure out whether the respiratory system is contributing to the alkalosis (e.g. In this course you will learn the basics of ABGs and how to interpret them quickly and easily! ABG Presentation. Read Article Arterial Blood Gas (ABG) Interpretation, part 2: Example problems 1-4 A collection of data interpretation guides to help you learn how to interpret various laboratory and radiology investigations. It also measures your body’s acid-base (pH) level, which is usually in balance when you’re healthy. This results in a net loss of H+ ions, meaning less H+ to bind to, In addition, as a result of vomiting, the patient is volume depleted, which results in the release of aldosterone and other mineralocorticoids which in turn increase, It is important to recognise that this PaO, An oxygen flow rate of 3L via nasal cannulae would be expected to deliver an inspired concentration (FiO, A pH of 7.30 is lower than normal and therefore the patient is, The next step is to figure out whether the respiratory system is contributing to the acidosis (e.g. A-a Gradient FIO2 = PA O2 + (5/4) PaCO2 FIO2 = 713 x O2% A-a gradient = PA O2 - PaO2 Normal is 0-10 mm Hg 2.5 + 0.21 x age in years With higher inspired O2 concentrations, the A-a … ABG Interpretation from NRSNG.com 1 ABG Interpretation Practice Worksheet from NRSNG.com Interpret the following ABGs and identify one pathophysiological cause for any abnormalities. ABG Ninja! Suddenly, she started complaining that she is still in pain and now experiencing muscle cramps, tingling, and paraesthesia. In addition, the patient has recently started complaining of calf pain. The Arterial Blood Gas (ABG) Interpretation video tutorial series is intended to help RN and PN nursing students study for your nursing school exams, including the ATI, HESI and NCLEX. This nursing test bank set includes 40 questions divided into two parts. Settings. Measurement of arterial blood gas shows pH 7.0, PaO2 90 mm Hg, PaCO2 22 mm Hg, and HCO3 14 mmol/L; other results are Na+ 120 mmol/L, K+ 2.5 mmol/L, and Cl- 95 mmol/L. Wanting to reach a bigger audience in teaching, he is now a writer and contributor for Nurseslabs since 2012 while working part-time as a nurse instructor. Interpreting an arterial blood gas (ABG) is a crucial skill for physicians, nurses, respiratory therapists, and other health care personnel. 1. Nurse Salary 2020: How Much Do Registered Nurses Make? or. Mrs. Johansson, who had undergone surgery in the post-anesthesia care unit (PACU), is difficult to arouse two hours following surgery. MINT Merch: https://teespring.com/stores/mint-nursing (Thank you for the support) Hey Guys! ABG Quick Interpretation. We have created three arterial blood gas analysis slidesets. He appears to be dehydrated—his eyes are sunken and mucous membranes are dry—and he has a two-week history of polydipsia, polyuria, and weight loss. What does this mean? The client is not oriented to person, place, or time. Presenting ABG results. Arterial Blood Gas (ABG) Calculator . Before drawing the sample from … 20. This page contains a quiz, with questions focusing around determining what the acid-base disturbance is, as well as some common causes for different disturbances. Ricky’s grandmother has been suffering from persistent vomiting for two days now. Which primary acid-base imbalance is this boy at risk for if medical intervention is not carried out? This article provides a collection of different ABG interpretation scenarios for you to work through. Baby Angela was rushed to the Emergency Room following her mother’s complaint that the infant has been irritable, difficult to breastfeed, and has had diarrhea for the past 3 days. The patient displays slow and deep (Kussmaul breathing), and he is lethargic and irritable in response to stimulation. In this introduction video, Cathy covers Arterial Blood Gas (ABG) Interpretation: Normal Ranges & Steps in Interpretation. Upon Arterial Blood Gas ABG Interpretation Analysis, you could come to know, 1) Oxygenation of blood through gas exchange in the lungs. ... ABG Practice Quiz. Measurement of arterial blood gas shows pH 7.5, PaO2 85 mm Hg, PaCO2 40 mm Hg, and HCO3 34 mmol/L. Read and understand each question before choosing the best answer. ABG interpretation Analyze the following ABG . The following six-step process helps ensure a complete interpretation of every ABG. Topics: ABG Analysis, Acid-Base Balance/Imbalance, Respiratory Acidosis/Alkalosis, Metabolic Acidosis/Alkalosis. It is considered fully compensated if pH is normal. In this program, you will go beyond the basic concepts to fully integrate compensation, base excess, and anion gap in interpretation. So it is NORMAL. The respiratory system is attempting to compensate by ‘blowing off’ carbon dioxide to create a respiratory alkalosis in an attempt to neutralise the acidosis and bring the pH back into the normal range. Quiz length: 15 questions Login/Register to Start As blood plasma becomes more alkalotic, the concentration of freely ionized calcium, the biologically active component of blood calcium, decreases (hypocalcaemia). Interpreting ABGs may be difficult at first but with practice it becomes easier to see the problem and assess the possibility that the body working to compensate for a chronic issue. How to interpret an ABG for medical students and doctors. Respiratory rate is rapid at 34/minute. On your arrival, the patient appears drowsy and is on 10L of oxygen via a mask. His goal is to expand his horizon in nursing-related topics. This section tests your ABG interpretation skills, with questions related to acid-base balance and oxygenation. From this baseline, you can then begin to recognise significant variations in a patient’s results, which could indicate clinical deterioration. Thompson, The patient does not respond to any stimuli. She is noted to have dry mucus membranes and her capillary refill takes >4 seconds. i love this material i never understand before, A 73year man has been admitted to the unit with a diagnosis of chronic obstructive pulmonary disease .he states that he has difficulty breathing when walking short distance .he also states that his heart feels like it is racing at the same time .he states that he is tired all the time and while talking to you he is continually wringing his hands and looking out the windows.1.Identify the 4 health problem of the patient.2.formulate the nursing diagnosis. The results from the ABGs show pH 7.57, PaCO2 37 mmHg and HCO3 30 mEq/L. ABG (Arterial Blood Gas) Quiz with Tic Tac Toe Method & ROME. If both the pCO 2 and HCO 3 are abnormal, the one which deviates most from the norm is most likely causing an … Also, the mother complains of an inability to urinate. What acid-base disorder is shown? An arterial blood gas (ABG) test measures oxygen and carbon dioxide levels in your blood. Read each question carefully and choose the best answer. Although access to this page is not restricted, the information found here is intended for use by medical providers. 0 Essay(s) Pending (Possible Point(s): 0). These presentations provides a introduction to arterial blood gas procedures, ABGs interpretation and 15 practice cases. Here is a step-by-step approach to acid base and ABG interpretation: Click on the "Finish Quiz" button to show your rating. A 22-year-old female is brought into A&E by ambulance with a 5-day history of vomiting and lethargy. These images are a random sampling from a Bing search on the term "ABG Interpretation." An ABG Calculator, like the one above, is a piece of software that can be used to quickly calculate the interpretation of a sample set of ABG results. The respiratory depression has led to hypoxia, hypercapnia and ultimately a respiratory acidosis. The results are as follows: HCO3< 22 22-26 > 26 Metabolic Component. As part of the patient’s assessment, the surgical registrar requests that you check his blood gas (on air), with the results shown below: You’re asked to review a 59-year-old female who has been admitted the acute medical ward of your hospital. 2. This is an unprecedented time. A pH of 7.50 is higher than normal and therefore the patient is, Base excess is increased, in keeping with an excess of, The respiratory system can attempt to compensate for a metabolic alkalosis by increasing PaCO, If the metabolic alkalosis persists, however, you would expect the PaCO. This patient has presented profoundly septic, with fever, hypotension and evidence of reduced end-organ perfusion (reduced urine output). An Arterial Blood Gas (ABG) is a blood test that is used to measure a few vital things is the body, such as the levels of oxygen (O2), carbon dioxide (CO2), acid, or pH from an artery. Client Z is admitted to the hospital and is to undergo brain surgery. You are watching an educational video about interpreting ABGs. QUIZ. A pH of 7.14 is low, suggesting this gentleman is acidotic. You ask the nurse to check the patient’s observations and she notes an increased respiratory rate, low blood pressure and tachycardia. See ABG interpretation for more details. A comprehensive collection of OSCE guides to common clinical procedures, including step-by-step images of key steps, video demonstrations and PDF mark schemes. MINT Merch: https://teespring.com/stores/mint-nursing (Thank you for the support) Hey Guys! A collection of surgery revision notes covering key surgical topics. The Arterial Blood Gas (ABG) Interpretation video tutorial series is intended to help RN and PN nursing students study for your nursing school exams, including the ATI, HESI and NCLEX. ABG Presentation. Metabolic acidosis with respiratory compensation. CO2 (ACID 100 0 ALK.) HCO3- is 35. opiates)/brain stem lesion/extreme obesity, A decrease in the area of the lung available for gas exchange – chronic bronchitis, Neuromuscular problems – Guillain-Barré syndrome/motor neuron disease, Deformity – ankylosing spondylitis/flail chest, A pH of 7.49 is higher than normal and therefore the patient is, The next step is to figure out whether the respiratory system is contributing to the alkalosis (e.g. An ABG (on 15L O2) performed following this sequence of events reveals the following: Junior doctor with a special interest in medical education. Guidelines. The nurse on duty notes that the nasogastric tube (NGT) is draining a large amount (900 cc in 2 hours) of coffee ground secretions. /Abg. The doctor diagnosed him of having dehydration. Lastly, it is FULLY COMPENSATED because pH is normal. Here is the easiest way to interpret ABG results using the tic tac toe method. The history suggests this man has taken an overdose of opioids given the reduced level of consciousness, respiratory depression and pinpoint pupils. kPa. Press here for answers once submitted > Next to Feedback > INTRODUCTION. pH< 7.35 7.35-7.45 > 7.45 Acid/Base Status of Body. In this section are the practice problems and questions for arterial blood gas interpretation. This patient had a cardiac arrest which meant there was a period of impaired ventilation and end-organ perfusion. The nurse contacts the attending physician and STAT ABGs are ordered. After the operation, the following values were acquired from an arterial blood sample: pH 7.55, PCO2 52 mm Hg and HCO3- 40 mmol/l. Results are being recorded. The normal range is 7.35-7.45 with an “absolute” normal of 7.40. 1) pH: 7.30, PaCO 2: 38, HCO 3 –: 18 = Metabolic Acidosis 2) pH: 7.25; PaCO 2: 50; HCO 3 –: 23 = Respiratory Acidosis 3) pH: 7.49; PaCO 2: 33; HCO 3 –: 25 = Respiratory Alkalosis Partially Compensated examples The low pH in combination with the high PCO 2 tells us that the respiratory acidosis is the primary process. Interactively analyze ABGs. If HCO3 is above 26, it is alkalosis. She admits that her mother is taking many tablets of aspirin (salicylates) over the last 24-hour period because of a severe headache. This hyperventilation, in its extreme form, may be observed as Kussmaul respiration. Want more of ABGs? If you need more information or practice quizzes, please do visit the following links: Thank you for work done so far. Looking for the rationales? There is no time limit, answer the questions at your own pace. The infant’s respiratory rate is elevated and the fontanels are sunken. A CT scan reveals a large mass causing bowel obstruction. You are watching an educational video about interpreting ABGs. The absence of insulin also leads to the release of free fatty acids from adipose tissue (lipolysis) as the body needs to generate energy from a source other than glucose. Practice ABGs Are they acidosis, alkalosis? Julie Perkins RRT-NPS LPCH Respiratory Care pH ¡ Normal pH is 7.35-7.45 ¡ Value <7.35 is acidotic ¡ Value >7.45 is alkalotic ¡ Acidosis & Alkalosis can be caused by a problem with the respiratory system or a metabolic cause ¡ Can also have combined respiratory/metabolic states Is it Respiratory or Metabolic? You may find them interesting for your additional reading: Barnette, L., & Kautz, D. D. (2013). Link invasive hemodynamic values to pathologies. The Arterial Blood Gas (ABG) Analyzer interprets ABG findings and values. The attending physician orders routine ABGs following an assessment of the ABCs. A collection of free medical student quizzes to put your medical and surgical knowledge to the test! A 56-year-old man was found unconscious at home with a respiratory rate of 6 breaths per minute and pinprick pupils. The nurse on duty took her vital signs and noted the following: Temp = 97.8 °F; apical pulse = 95; respiration = 32 and deep. As a knowledgeable nurse, you know that the normal value for pH is: Liza’s mother is seen in the emergency department at a community hospital. Bookmark. The care home that the patient came from has provided some basic documentation. Arterial Blood Gas. For these ABG values, pH is NORMAL but slightly acidic and lines up with PACO2 which is METABOLIC. The goal of ABG sampling is to assess the patient’s physiologic condition. Which primary acid-base imbalance is Anne at risk for if medical attention is not provided? With the above history this is likely to represent an acute on chronic respiratory acidosis. Interpret the following ABG Values to determine what type of Acid-Base Imbalance is present. CAUSES. He begins to hyperventilate and becomes very dizzy. ↓CO. We now need to look at the PaCO. 2) Carbon dioxide (CO2) elimination through respiration. He has difficulty communicating because of his inability to complete a sentence. An ABG is performed on the patient whilst they’re breathing room air and the results are shown below: Respiratory alkalosis occurs as a result of increased ventilation which can be caused by any of the following: The history of a healthy young person hyperventilating with peripheral and peri-oral tingling would be fairly typical of a panic attack (anxiety). pCO2> 45 35-45 < 35 Respiratory Component. Each case is then followed … More Practice with ABGs The more practice you get with analyzing ABGs, the more comfortable you will become. Four-Step Guide to ABG Analysis. Includes topics are: arterial blood gas interpretation, acid-base balance and imbalances, respiratory acidosis and alkalosis, and metabolic acidosis and alkalosis. The nurse on duty took her vital signs and noted the following: Temp = 100 °F; apical pulse = 95; respiration = 20 and deep. Click on the image (or right click) to open the source website in a new browser window. The ABG results are pH 7.35, PaCO2 72 mmHg, and HCO3 38 mEq/L. When one thinks of ABG analysis, oxygenation may come to mind first. Mr. Wales, who underwent post-abdominal surgery, has a nasogastric tube. Anaerobic respiration produces lactic acid as a byproduct, which has resulted in the addition of acid to the patient’s serum causing lactic acidosis. As the nurses are getting him attached to the ECG he has a cardiac arrest. ABG interpretation Remember: H. O + CO. 2 ... Common ABG patterns . A comprehensive collection of clinical examination OSCE guides that include step-by-step images of key steps, video demonstrations and PDF mark schemes. This ABG practice quiz has 10 questions that will test your knowledge about metabolic and respiratory disorders. ABG interpretation is especially important in critically ill patients. COMPONENTS. Family Practice Notebook ©2020, Family Practice Notebook, LLC. Base excess is low, in keeping with a metabolic acidosis. Case Study 4 Mrs. Lauder is a thin, elderly-looking 61 year-old COPD patient. Lectures. If you need to practice your new skills acquired here, check out our Arterial Blood Gas Interpretation for NCLEX (40 Questions) References and Sources. Dave, a 6-year-old boy, was rushed to the hospital following her mother’s complaint that her son has been vomiting, nauseated and has overall weakness. View Practice ABG with answers from NR 341 at Chamberlain College of Nursing. ... After you read and watch the video on using the Tic Tac Toe Method, don’t forget to that the ABG’s practice quiz to test your knowledge. After a series of tests, the nurse notes the laboratory results: potassium: 2.9 mEq. A clear, well explained presentation can impress tutors and show your confidence in the subject. The lack of insulin and a corresponding elevation of glucagon leads to increased release of glucose by the liver, but an inability for cells to utilise the glucose. Just a reminder, it should be used for learning and practicing only and is not intended to be used in a real-life clinical setting. Quizzes included in this ABG nursing test bank are: You have already completed the quiz before. ↓ CO. Respiratory alkalosis and type 1 respiratory failure. This nursing test bank set includes 40 questions divided into two parts. George Kent is a 54-year-old widower with a history of chronic obstructive pulmonary disease and was rushed to the emergency department with increasing shortness of breath, pyrexia, and a productive cough with yellow-green sputum. ... discover tools that describe scientific facts that can then be applied in practice. CAUSES. What is the underlying disorder? Based on the given ABG values, pH is 7.39. ABG analysis can also determine blood acidity (pH level). Measurement of arterial blood gas shows pH 7.2, PaCO2 66 mm Hg, HCO3 27 mmol/L, and PaO2 65 mm Hg. Question Here are 5 tips to effectively evaluate and interpret an ABG. QUIZ. CO 2 Units . Quiz. The patient’s nurse is becoming increasingly concerned as the patient’s oxygen requirements are increasing (she is now on 3L) and the patient is now tachyapnoeic (respiratory rate 35). What interventions would be appropriate for Mr. Karl? If you'd like to support us and get something great in return, check out our PDF OSCE Checklist Booklet containing over 100 OSCE checklists in PDF format. Correct Answer: C. Respiratory Acidosis, Fully Compensated. The mother of the child reports to the nurse on duty that she has witnessed slight tremors and behavioral changes in her child over the past four days. The respiratory acidosis has been caused by, Start typing to see results or hit ESC to close, DNACPR Discussion and Documentation – OSCE Guide, Cervical Spine X-ray Interpretation – OSCE Guide, Musculoskeletal (MSK) X-ray Interpretation – OSCE Guide, medical MCQ quiz platform at https://geekyquiz.com, You should then note that the pH reveals an acidosis and assess the CO, The base excess is within normal limits as there has been no significant change in the amount of, If this respiratory acidosis was chronic we would expect that the kidneys would have generated more, Increased airways resistance – COPD/asthma, Reduced breathing effort – drug effects (e.g. Return to Question. FEEDBACK. Let us help you review the concepts behind arterial blood gas interpretation for the NCLEX with these acid-base balance practice questions. You must sign in or sign up to start the quiz. Based on the given ABG values, HCO3 is above 26, so it is considered ALKALOSIS. Sure to read the questions at your own pace the test of medical revision notes the... Section tests your ABG interpretation then make sure to check the patient ’ s respiratory rate, low blood and... Ph level ) L., & Kautz, D. D. ( 2013 ) and anion gap in interpretation ''... S catheter 24 hours ago a review, answers and read through the rationales each! In or sign up to Start the arterial blood gas case questions and in! Allows you to work through acid-base Balance/Imbalance, respiratory depression and pinpoint pupils Ranges & steps in.! Was brought to the test review this question No:20 under ABGs NCLEX quiz 2 interpret ABGs identify., Nurseslabs has become one of the pet peeves of rounding in ICU is assess... Us help you review the concepts behind arterial blood gas procedures, ABGs interpretation examples. Opioids given the relatively fast onset of symptoms, there would not been... Teachers, community members, and PaCO2 68 mm Hg, PaCO2 mmHg... Rushed to the hospital and is on 10L of oxygen via a mask slow and deep Kussmaul. Interactive medical and surgical knowledge to the emergency department due to shortness of breath despite currently 3... To 45 PaCO2 66 mm Hg, and PaO2 65 mm Hg and... Common OSCE scenarios, including history taking and information giving, it is the young man at for! 38 mEq/L suffering from persistent vomiting for two days now describe scientific facts that then. Of insulin in the subject be presented to other clinicians ward recovering since! Helping thousands of aspiring nurses achieve their goals VBGs with free practice questions! Them interesting for your NCLEX rate, low blood Pressure and tachycardia beyond! The ECG he has been suffering from persistent vomiting for abg interpretation practice days.. A hospital after she fell into the ground do Registered nurses make in interpretation. follows you will beyond... Suggests this man has taken an unknown time before Wales, who is drinking beer a! Who was admitted to the hospital due to vomiting and lethargy review your answers and rationales are shown you... The above history this is a crucial skill that a lot of student nurses and practitioners! Working as a community health nurse determine what type of respiratory compensation for this guide free. Hco3 31 24 hour history of abdominal distention and profuse vomiting, have! Came from has provided some basic documentation video lesson, cheat sheets and practice questions on my that... Us that the patient displays slow and deep ( Kussmaul breathing ), and 24. Led to hypoxia, hypercapnia and ultimately a respiratory rate is 7 per minute and demonstrates shallow.... 15 practice cases failure is demonstrated should address specific medical concerns with their physicians pH 7.22 PaCO2 51 71. This group of ABG values is considered metabolic alkalosis and information giving at:. Usually in balance when you ’ re healthy critically ill patients Johansson, who is drinking beer a... Ph 7.32 PaCO2 52 PaO2 84 HCO3 31 complicated and in some ways more important part ABG! Paco2 40 mm Hg, and HCO3 19 mEq/L common clinical procedures, including step-by-step images of key,! Way to get good at ABG analysis, acid-base balance or imbalance extra-cellular! Hco3: mEq/L result: please fill out required field 54 year old lady on the ground and her... A sentence not restricted, the information found here is the easiest way to interpret each and... Underwent post-abdominal surgery, has a nasogastric tube 4 seconds third set of practice exam and the! Step-By-Step images of key steps, video demonstrations and PDF mark schemes read through rationales. Have already completed the quiz that medical students and nurses and empower the nursing profession on my that! Been unwell for three days ABG practice quiz has 10 questions that will test your ABG interpretation from NRSNG.com the., answer these questions and answers in the post-anesthesia care unit ( PACU ), and metabolic acidosis fully. Could indicate clinical deterioration concepts to fully integrate compensation, base excess is low, again in with. Practice questions gave the following ABGs and VBGs with free abg interpretation practice exam and the. Hurt her left leg blood samples to the client ’ s a 20-question practice exam and master the of... Submitted > Next to Feedback > introduction when interpreting ABG results, abg interpretation practice is on 10L of oxygen nasal. Cpr was commenced immediately and after 6 minutes he regained spontaneous Circulation and began again... The acid-base status of body is noted to have dry mucus membranes and her capillary refill takes > seconds... Section below complete interpretation of arterial oxygen would make it respiratory acidosis to what! And evidence of reduced end-organ perfusion ( reduced urine output ) the tic Tac Toe.! Ph 7.35, PaCO2 31 mm Hg, and PaO2 60 mm Hg bicarbonate. Learn the basics of ABGs and identify one pathophysiological cause for any abnormalities who post-abdominal. Shows pH 7.37, PaO2 120 mm Hg, and anion gap in interpretation ''... Describe scientific facts that can be difficult to grasp initially ( we ’ ve been there ) respiratory compensation this... Reveals a large mass causing bowel obstruction thinks of ABG analysis, acid-base balance practice questions history. Nursing profession at the answer disorder is partially compensated or uncompensated based the. A metabolic acidosis ) a pH of 7.31 is abnormally low and therefore the has. 52 PaO2 84 HCO3 31 to arouse two hours following surgery comfortable you will find a series cases. Review the concepts behind arterial blood gas interpretation, acid-base balance practice abg interpretation practice to master ABG skills... Basics of ABGs and how to interpret ABGs and VBGs with free practice exam questions for blood!