1ABG analysis has a prospective influence on patient care than any other laboratory determinants
Blood gas analyzers
2Tissue oxygenation, ventilation, and acid-base status are the most important factors in the management of critically ill patients
Blood gas analyzers
33 important parameters in blood gas analyzers
pH, pO2, and pCO2
4Sample is arterial blood placed on ice and held at 0°C until analysis
Blood gas analyzers
5most important factor in blood gas analyzers
Tissue oxygenation, ventilation and acid base status
6p in blood gas analyzers mean
Partial pressure
7Why does the transportation in blood gas analyzers should be in ice?
Because it prevents the consumption of oxygen by different cells present in the blood sample
-needed to decrease the ability of some cells to consume with oxygen
8True or false:
Ib blood gas analysis, if the person is critical, some of the kidneys and lungs are also in critical condition. This organs usually regulate the acid base status, pH levels and help in the ventilation.
True
9Literal meaning of pH
Power of hydrogen (concentration of hydrogen ions an solutions)
10blood is less than 7:35
Metabolic or respiratory acidosis
11If blood ph is more than 7.35
12factors in blood gas analyzers that is how is air is being exchanged between the blood and lungs
pCO2
13factors in blood gas analyzers that has the ability of lungs to diffuse oxygen of the alveoli
pO2
14true or false:
blood gas analyzers in consudered as a STAT
true
15True or false:
when we collect blood sample in blood gas analyzers, it should be arterial puncture
16In arterial puncture, no need to use tourniqute becuase of the pressure of the blood in arteries
17-the needle should be moved because it is a sharp hazard
-no needle attach in the barrel
EPOC Critical Care Blood Gas Analyzer
18Measures the electrolytes and need patient request form
OPTI Critical Care Analyzer
19-lot of tests can be done
-it can be connected to the LIS of the hospitals then transmit results in Electronic Medical Record (EMR)
i-stat
20Sections that can perform in iStat
-Lactate
-Hematology
-Chemistries and Electrolytes
-Cardiac Markers
-Endocrinology
-Blood gases
-Coagulation
21Different electrolytes
Sodium, potassium, chloride, bicarbonate ion, ionized calcium
22Transmitting nerve impulses
Sodium
23Increase in sodium
Hypernatremia
24Decrease in sodium
Hyponatremia
25increase in calcium
Hypercalcemia
26what color tube is bind to calcium?
light blue
27slow breathing
hypoventilation
28in hypoventilation, if ther is an increase in CO2, there is also an increase in hydrogen ions and decrease in pH
29it decreases CO2, decrease hydrogen ions and increase in pH
Hyperventilation
30electrolytes that helps in nerve conduction and muscle
function; regulates acid-base balance and osmotic
pressure
potassium
31electrolytes that maintains the integrity of the cells by helping in
balancing osmotic pressure and acid-base and water
balance of the body
chloride
32helps transport CO2 from the lungs
resulting in the reduction of hydrogen ions and increase in
blood pH
bicarbonate ions
33helps in muscular function cardiac
function, blood clotting, nerve transmission function of the body
ionized calcium
34Function of EDTA
-para indi mag coagulate ang blood
-it binds to your calcium so that the calcium cannot participate in the clotting process
35For monitoring patient’s oxygen saturation
pulse oximetry
36Decrease in CO2, decrease hydrogen ions and increase in pH
Hyperventilation
37Most common used sites for application are the fingernail and toenail beds
pulse oximetry
38Principle is based on the red and infrared light absorption characteristics of oxygenated and deoxygenated hemoglobin
pulse oximetry
39no puncture or incision to the patient to collect sanple
non invasive poct
40The meter measures the yellowness of the subcutaneous tissue by measuring the difference in the optical density of two wavelengths through the skin
Transcutaneous measurement bilubrin
41Measurements are taken wither on the baby’s forehead or sternum
Transcutaneous measurement of bilirubin
42measures the concentration of bilubrin in the body
Transcutaneous measurement of bilirubin
43sample in bilubrin should expose to light
44bilubrin sample can be collected to what color of tube?
ambered brown top tube
45if the hospital cant afford the ambered brown top tube in determination of bilubrin, carbon paper or foil can be used instead
46A device that extracts glucose through intact skin via reverse iontophoresis where it is detected by an amperometric biosensor
glucowatch biographer
47Can provide glucose readings every 20 mins for 12 hours
GlucoWatch Biographer
48A pulse co-oximeter that uses multi-wavelength sensor for spot check and continuous measurement
non invasive hemoglobin monitors
49The technology emits multiple wavelengths of light and then calculates the hemoglobin concentration based on the adsorption of light in the blood
Non-invasive hemoglobin monitors
50Gauge the effectiveness of the thrombolytic therapy being administered to patients who have suffered from heart attacks
Cardiac Troponin T and Troponin I
51medications that dissolve clots forming in the body
thrombylotic therapy
52Measures the alanine transferase (ALT) of patients
under lipid-lowering medication
lipid testing
53Differentiates chronic obstructive pulmonary disease (COPD) and congestive heart failure (CHF)
B-Type Natriuretic Peptide (BNP)
54Detects and evaluates infection, tissue injury, and
other inflammation disorders
C-Reactive Protein (CRP)
55Diagnostic tool for diabetes therapy
monitoring
Glycosylated hemoglobin
56Measures the volume of the red blood cells
hematocrit
57other name for hematocrit
pact cell volume
58True or false:
In hematocrit, it also measure serum or plasma
True
59 Checks the hemoglobin level to manage patients suffering from anemia
Hemoglobin
60Evaluates the severity of lactic acid disorder and stress response of the
patient
Lactate
61Checks contact with allergens and determines if the body has developed
antibodies
Skin Test
62Detects the presence of group A streptococci
Strep testing
63Causative agent of sore throat
Streptococcus pyrogenes
642 anemia things that can happen
Low RBC counts
normal rbc counts but low hemoglobin