Blood Gas Arterial Venous pH 7.51 7.40 PaCO2 30 mmHg 45 mmHg PaO2 60 mmHg 30 mmHg HCO3 24 mEq/l 21 mEq/l BE - 1 - 4 SaO2 90% 60% Hb 15 g/dl 15 g/dl   Part 1: Interpret the ABG

Surgical Tech For Surgical Tech Pos Care
5th Edition
ISBN:9781337648868
Author:Association
Publisher:Association
Chapter7: Preventing Perioperative Disease Transmission
Section: Chapter Questions
Problem 7.2.1CS
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Case #2
Mr. H is a 52-year-old male who presents to the emergency department. His left leg is in a cast, and he states that 1 week ago he was in an automobile crash and broke his upper leg. Since that time he has had difficulty “getting around” and has mostly been lying on the couch watching television. On the evening of admission he noticed a sudden onset of dyspnea and chest pain. He denies having orthopnea, cough,
hemoptysis, or wheezing. He smoked two packs of cigarettes a day for 19 years, but quit 3 years ago.
Blood work values on room air:
Blood Gas

Blood Gas

Arterial Venous
pH 7.51 7.40
PaCO2 30 mmHg 45 mmHg
PaO2 60 mmHg 30 mmHg
HCO3 24 mEq/l 21 mEq/l
BE - 1 - 4
SaO2 90% 60%
Hb 15 g/dl 15 g/dl

 

Part 1: Interpret the ABG
Part 2: What is the arterial- venous oxygen content (Ca-vO2) difference for this patient?

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