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audrey rogers
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audrey rogers
respiratory
Education
The journey in the blood
Gas solubility and binding to Haemoglobin
Why the earlobe?
Gas exchange terminology
Oxyhaemoglobin Dissociation Curve
Factors affecting Haemoglobin affinity
Acid-Base Balance
The Henderson Hasselbalch equation
Indications and Contraindications of ELCBGs
Safe Sampling
Patient consent
Three phases of patient sampling
Test preparation
Equipment required to perform an ELCBG
Puncturing the earlobe
Collecting the blood sample
Test sensitivity
Earlobe Capillary Blood Gases (ELCBGs)
Arterial blood gas measurement
Transcutaneous measurements
Normal Values
PaO
2
Normal Range
PaCO
2
Normal Range
Base Excess Normal Range
SaO
2
Normal Range
SpO
2
Normal Range
Fractional Inspired Oxygen Concentration
The patient’s clinical context
Is the pH normal?
Compensatory mechanisms for acid-base imbalance
Respiratory and Metabolic Acidosis and Alkalosis
Type I Respiratory Failure
Type II Respiratory Failure
Respiratory Acidosis
Metabolic Acidosis
Metabolic Alkalosis
Advanced Interpretation Algorithm (branch 2)
Case study 1
Case study 2
Case study 3
Case study 4
Case study 5
Case study 6
Case study 7
Case study 8
Case study 9