Arterial blood gas (ABG) expanded analysis is deemed to be critical to nurses, particularly the RN circulator (Blum, Lund, Hall, Tachauer, Chedrawy, & Zilberstein, 2015) . As such, it is imperative for health care providers to have the ability to interpret relevant elements that are carried in the blood, which is essential in maintaining the patient’s lives and homeostasis (Gattinoni, Pesenti, & Matthay, 2018) . On the other hand, patients must also entrust the knowledge and expertise in the OR. For accuracy in interpretation of the ABG samples, nurses have to make sure that they understand all the components that are measured, as well as understand how each of the components is attributed to the individual’s normal psychological function (Larkin & Zimmanck, 2015) . Ideally, ABG test results give a combination of results such as the patient’s acid –base balance, which is done by determining the concentration of the hydrogen ion (Blum et al., 2015). This paper builds on these findings and uses wider data to show how overall patterns of interpreting ABG can be made successful.
As highlighted above, ABG test results are used to determine patients’ acid-base balance that is done by determining the amount of hydrogen ions that are present in the blood (Larkin & Zimmanck, 2015) . Further, the test can also be used to provide a wide range of information regarding a surgical patient’s psychological state. Other than just the pH, blood gas tests can also be used in determining data about the patient’s ventilation and oxygenation (Blum et al., 2015). This way, it is possible to identify the primary source of disturbance in homeostasis. In addition, it can also be used to indicate how effectively the individual’s body responds to the acid-base compensation. It is also used in determining whether the individual’s blood volume is adequate for transporting nutrients to the tissues, as required (Gattinoni et al., 2018).
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Needs for ABG measurement are important because they serve a wide variety of critical procedures. The ABG tests are of efficacy in the determination of the patient’s metabolic status and fluid status. For the surgeons and anesthesia professionals highly depend on the ABGs during long oncological, cardiac, or neurological procedures to give direct care (Gattinoni et al., 2018). Apparently, during the interpretation of the AB measurements, it is important to note that credible interpretation of the ABG results begins with an understanding of the effects of acidosis and alkalosis on tissue oxygenation and pH (Larkin & Zimmanck, 2015) . Usually, the body’s regulation of the hydrogen is dependent on both metabolic and respiratory systems. This way, it is important for the nurses to understand how ions relate with each other because a change in concentration of any ion implies an overall change in the blood pH.
In the perspective of Romanski, he breaks the ABG evaluation process into four steps. The acid-base status of a patient is determined b analyzing ABGs (Blum et al., 2015). With that, the results must be used with other blood diagnostic tests, the patient’s history, and comorbidities to determine the kind of diagnostics that are required. According to Romanski’s method of blood gas analysis, each value should be used to determine the type of acid-base disorder and its primary cause (Gattinoni et al., 2018). In addition, following the analysis of his method, it reveals whether the results show respiratory or metabolic compensation. Similarly, RN can also be used to analyze the test results. Blood gas analysis is important in detecting patients with pulmonary disease, interstitial lung disease, or asthma because it may necessitate the need for a ventilator support (Larkin & Zimmanck, 2015) . In post anesthesia unit, blood gas measurement can determine an etiology of an individual’s mental status or varied respiratory system.
Conclusively, the expanded analysis of this context is wide and formative and has shown that accurate interpretation of ABGs is important despite it being rare in some OR settings. Understanding the interpretation of ABGs is of efficacy in preparing to respond to the critical acid-base imbalances and provide a long lasting solution. Essentially, perioperative RN is important RN is important to assist in the quick access and interpretation of ABG results when blood gas reports arrive on the OR. Additionally, they are important to the surgical team to assist n maintaining the acid-base balance for the anesthesia professional.
References
Blum, F. E., Lund, E. T., Hall, H. A., Tachauer, A. D., Chedrawy, E. G., & Zilberstein, J. (2015). Reevaluation of the utilization of arterial blood gas analysis in the intensive care unit: effects on patient safety and patient outcome. Journal of critical care , 30 (2), 438-e1.
Gattinoni, L., Pesenti, A., & Matthay, M. (2018). Understanding blood gas analysis. Intensive care medicine , 44 (1), 91-93.
Larkin, B. G., & Zimmanck, R. J. (2015). Interpreting arterial blood gases successfully. AORN journal , 102 (4), 343-357.
