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Market Entry Strategy Project

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Submitted By myomintun
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David W. Woodruff, MSN, RN-BC, CNS, CEN

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6 Easy Steps to ABG Analysis ©2003-2009 Ed4Nurses, Inc.

WELCOME TO THE 6 EASY STEPS TO ABG ANALYSIS!
BY: DAVID W. WOODRUFF, MSN, RN-BC, CNS, CEN

Nurses often have difficulty interpreting arterial blood gases (ABGs). Confusion often begins with trying to remember many random rules and lacking a standardized approach to ABGs. In addition, nurses often attempt to analyze too many components of the ABG at the same time. The result is often confusion and an incorrect diagnosis. Therefore, the “6 Easy Steps to ABG Analysis” were developed to provide nurses with an accurate and systematic method of easily interpreting arterial blood gases. The “6 Easy Steps to ABG Analysis” are listed below for easy reference, and will be explained in more detail in the sections that follow. Lastly, examples will be presented with a systematic review of pertinent findings.

The 6 Easy Steps to ABG Analysis:
1. Is the pH normal? 2. Is the CO2 normal? 3. Is the HCO3 normal? 4. Match the CO2 or the HCO3 with the pH 5. Does the CO2 or the HCO3 go the opposite direction of the pH? 6. Are the pO2 and the O2 saturation normal?

In order for our analysis to be effective, notes will have to be written next to the results on our lab slip. Alternately, the ABG results can be transcribed onto another paper for analysis (see example one below for the format).

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6 Easy Steps to ABG Analysis ©2003-2009 Ed4Nurses, Inc.

Step 1: Analyze the pH
The first step in analyzing ABGs is to look at the pH. Normal blood pH is 7.4, plus or minus 0.05, forming the range 7.35 to 7.45. If blood pH falls below 7.35 it is acidic. If blood pH rises above 7.45, it is alkalotic. If it falls into the normal range, label what side of 7.4 it falls on. Lower than 7.4 is

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