ABG Flashcards Preview

Phase 2a Clinical skills > ABG > Flashcards

Flashcards in ABG Deck (15)
Loading flashcards...
1

First thing you do?

Wash your hands

2

3 I's

Introduction, identify, informed consent

3

4 ABSOLUTE contraindications of ABG

Poor collateral circulation
Peripheral vascular disease in that limb
Cellulitis around injection site
AV fistula

4

1 RELATIVE contraindication of ABG

Impaired coagulation

5

Explain the purpose of the procedure

To assess the oxygen levels in your circulation

6

4 risks of ABG

bleeding
bruising
infection
permanent damage to the artery

7

What test do you perform before an ABG?

Allen's test
Check for the ulnar perfusion of the hand

8

Equipment for ABG

Sharps bin, apron and gloves (and hand gel nearby)
Kidney dish/other receptacle
ABG needle, wipes, gauze, tape

9

How should the hand be positioned?

Wrist extended 20-30 degrees

10

How would you prepare the arm?
(6 steps)

1) Position arm with wrist extended
2) Prepare the equipment in aseptic way
3) Palpate artery (along its course)
4) Clean site (30 seconds and 30 seconds dry)
5) Wash hands, don gloves and apron
6) Expel heparin from needle and pull back plunger to 1

11

Where do you palpate when performing ABG?
(when the needle is going in)

1cm PROXIMAL

12

How do you know when you're in the artery?

Pulsatile filling of the syringe

13

What do you do when the syringe has enough blood?
(5 steps)

1) Prepare gauze over site of injection
2) Remove needle
3) Apply firm pressure to site of injection
4) SAFELY remove needle from syringe (engaging the pink plastic guard bit)
5) Place cap on syringe and label sample

14

How long should pressure be applied after the removal of the needle?

3-5 minutes
You can ask the patient or a colleague to help

15

To complete the procedure you would?
(5 steps)

1) Dress the puncture site
2) Thank the patient (it hurts a lot)
3) Dispose of everything correctly
4) Wash hands
5) Run like hell to get that sample analysed