ABG Course (Arterial Blood Gas) Introduction

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Jon Haws
BS, BSN,RN,CCRN Alumnus
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Outline

The Arterial Blood Gas (ABG) Course takes the often confusing topic of Acid-Base Balance broken it down into manageable chunks of information.  In this course you will learn the basics of ABGs and how to interpret them quickly and easily! We’ll show you how to identify any abnormalities in the ABG results and how to manage care for those patients confidently. Upon completion of this course, you will be able to…

  1. Discuss the pathophysiology of acid-base balance.
  2. Interpret an Arterial Blood Gas result accurately, including discussion of compensation.
  3. Explain the presentation and priority management for all four primary acid-base imbalances: Respiratory Acidosis, Respiratory Alkalosis, Metabolic Acidosis, and Metabolic Alkalosis.
  4. Explain the oxygenation parameters found on an ABG and determine their significance for any specific patient.
  5. Discuss the use of Lactic Acid and Base Excess in determining the source of a client’s acid-base imbalances

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Transcript

Welcome to the ABG course. Previously, we had the ABG lessons inside the labs course, but we know so many of you were looking for more resource. So we decided to pull it out, beef it up and make an entirely new course for you!

As you’ll learn in the course, Arterial Blood Gas results are a great way to get a systemic view of what’s going on with your patient. The arteries are where they should have the most oxygen, the most nutrients, because it hasn’t been dropped off in the tissues yet. With an ABG result you can really understand what’s working and what’s not working and what could be going wrong.

In this course we’re going to walk you through the physiology of acid-base balance and give you some tips and tricks on how to interpret an ABG quickly and easily. We’ll also talk about each of the four main acid-base imbalances, evaluating oxygenation status, and a few other bonus results that you will see on an ABG.

Dive in, work through the practice questions and figure out which interpretation method works best for you. We’ve also added dozens of ABG specific flashcards including some that are just straight interpretation practice! Make sure you check those out, along with all of the other resources in this lesson.

We hope this helps take some of the overwhelm out of acid-base balance and ABG interpretation. We love you guys. Now, go out and be your best self today. And, as always, happy nursing!

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Concepts Covered:

  • Cardiac Disorders
  • Acute & Chronic Renal Disorders
  • Disorders of Pancreas
  • Neurological Emergencies
  • Noninfectious Respiratory Disorder
  • Respiratory Disorders
  • Hematologic Disorders
  • Musculoskeletal Trauma
  • Respiratory System
  • Urinary System
  • Renal Disorders
  • Eating Disorders
  • Shock
  • Cardiovascular
  • Emergency Care of the Cardiac Patient
  • Nervous System
  • Skeletal System
  • Circulatory System
  • Shock
  • Disorders of the Posterior Pituitary Gland
  • Endocrine
  • Disorders of the Thyroid & Parathyroid Glands
  • Hematology
  • Gastrointestinal
  • Upper GI Disorders
  • Liver & Gallbladder Disorders
  • Newborn Complications
  • Lower GI Disorders
  • Multisystem
  • Neurological
  • Central Nervous System Disorders – Brain
  • Renal
  • Respiratory
  • Integumentary Disorders
  • Labor Complications
  • Newborn Care

Study Plan Lessons

Nursing Care and Pathophysiology for Heart Failure (CHF)
Nursing Care and Pathophysiology of Myocardial Infarction (MI)
Nursing Care and Pathophysiology of Acute Kidney (Renal) Injury (AKI)
Nursing Care and Pathophysiology of Diabetes Mellitus (DM)
Nursing Care and Pathophysiology for Hemorrhagic Stroke (CVA)
Nursing Care and Pathophysiology of COPD (Chronic Obstructive Pulmonary Disease)
Asthma
Nursing Care and Pathophysiology for Anemia
Fractures
Respiratory Acidosis (interpretation and nursing interventions)
ABGs Tic-Tac-Toe interpretation Method
ROME – ABG (Arterial Blood Gas) Interpretation
ABG (Arterial Blood Gas) Interpretation-The Basics
ABGs Nursing Normal Lab Values
ABG Course (Arterial Blood Gas) Introduction
Respiratory Alkalosis
Metabolic Acidosis (interpretation and nursing diagnosis)
Metabolic Alkalosis
ABG (Arterial Blood Gas) Oxygenation
Lactic Acid
Base Excess & Deficit
02.01 Hypertensive Crisis for CCRN Review
02.02 Cardiomyopathy for CCRN Review
02.06 Heart Murmurs for CCRN Review
02.07 Reading “A, C, V Waves” & PAWP Waveforms for CCRN Review
02.08 Cardiac Catheterization & Acute Coronary Syndrome for CCRN Review
02.09 12 Lead EKG- Leads 1, 2, 3, aVL, and aVF for CCRN Review
02.10 12 Lead EKG- Lead V1-V6 for CCRN Review
02.11 12 Lead EKG- Injuries for CCRN Review
02.12 Myocardial Infarction- Inferior Wall for CCRN Review
02.13 Myocardial Infarction – Anterior Septal Wall for CCRN Review
02.14 Shock Stages for CCRN Review
02.15 Hypovolemic Shock for CCRN Review
02.16 Cardiogenic Shock for CCRN Review
02.17 Septic Shock for CCRN Review
02.18 Cardiovascular Practice Questions for CCRN Review
03.01 Syndrome of Inappropriate Antidiuretic hormone (SIADH) for CCRN Review
03.02 Diabetes Insipidus for CCRN Review
03.03 Hypoglycemia for CCRN Review
03.04 DKA vs HHNK for CCRN Review
03.05 Endocrine Practice Questions for CCRN Review
04.01 Hematology for CCRN Review
08.01 Psychological Review for CCRN Review
04.02 Hematology Review Questions for CCRN Review
05.01 Pancreatitis and Large Bowel Obstruction for CCRN Review
05.02 Liver Overview and Disease for CCRN Review
05.03 Jaundice for CCRN Review
05.04 Ruptured Spleen for CCRN Review
05.05 GI Practice Questions for CCRN Review
06.01 Organ Failure, Dysfunction & Trauma for CCRN Review
06.02 Poisoning for CCRN Review
06.03 Multi-System CCRN Important Points for CCRN Review
06.04 Differentiating Ectopy and Aberrancy for CCRN Review
06.05 Wide Complex Tachycardia for CCRN Review
07.01 CVA (Cerebrovascular Accident/Stroke) for CCRN Review
07.02 Neuro Anatomy for CCRN Review
07.03 Uncal Herniation for CCRN Review
07.04 Supratentorial Herniation and Glasgow Coma Scale for CCRN Review
07.05 Supratentorial Herniation: Cushings Triad for CCRN Review
07.06 Increased Intracranial Pressure (ICP) for CCRN Review
07.07 Cerebral Perfusion Pressure for CCRN Review
07.08 Basilar Skull Fracture for CCRN Review
07.09 Meningitis for CCRN Review
07.10 Neurologic Review questions for CCRN Review
09.01 Acute Renal Failure Overview for CCRN Review
09.02 Acute Tubular Necrosis for CCRN Review
09.03 Acute Renal (Pre-Renal vs Renal) Failure for CCRN Review
09.04 Continuous Renal Replacement Therapy for CCRN Review
09.05 Chronic Renal Failure for CCRN Review
09.06 Renal Practice Questions for CCRN Review
10.01 Arterial Blood Gas (ABG) Interpretation for CCRN Review
10.02 Breath Sounds for CCRN Review
10.03 Acute Respiratory Failure for CCRN Review
10.04 Pulmonary Question Review for CCRN Review
EKG (ECG) Course Introduction
Electrical A&P of the Heart
Electrolytes Involved in Cardiac (Heart) Conduction
The EKG (ECG) Graph
EKG (ECG) Waveforms
Calculating Heart Rate
Normal Sinus Rhythm
Sinus Bradycardia
Sinus Tachycardia
Atrial Flutter
Atrial Fibrillation (A Fib)
Premature Atrial Contraction (PAC)
Supraventricular Tachycardia (SVT)
Premature Ventricular Contraction (PVC)
Ventricular Tachycardia (V-tach)
Ventricular Fibrillation (V Fib)
1st Degree AV Heart Block
2nd Degree AV Heart Block Type 1 (Mobitz I, Wenckebach)
2nd Degree AV Heart Block Type 2 (Mobitz II)
Fluid & Electrolytes Course Introduction
Fluid Compartments
Fluid Pressures
Fluid Shifts (Ascites) (Pleural Effusion)
Isotonic Solutions (IV solutions)
Hypotonic Solutions (IV solutions)
Hypertonic Solutions (IV solutions)
Potassium-K (Hyperkalemia, Hypokalemia)
Sodium-Na (Hypernatremia, Hyponatremia)
Calcium-Ca (Hypercalcemia, Hypocalcemia)
Chloride-Cl (Hyperchloremia, Hypochloremia)
Magnesium-Mg (Hypomagnesemia, Hypermagnesemia)
Phosphorus-Phos
Blood Glucose Monitoring