Monday, July 19, 2010

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Very often, the question that the student nurses themselves more frequently is: "As stated un'emogasanalisi?
First of all there is to say that the practice of the EGA is recent history for the nurse, the repeal of the job at first created many doubts about what the nurse could and could not perform. An opinion on the possibility of implementing a levy arteriosus, which was passed at its meeting on 23 June 2005, comes from a report sent by the 'Local Health America. Presidio Ospedaliero Nord, UOC of Pneumology, "in which the same UOC requested the General Directorate of Human Resources for Health Professions and an opinion on blood gas sampling by the nurse." The management in question forwarded the request to the National Health Council is an advisory body of the Ministry of Health.
CSS, as well as to advocate a type of national situations, Favours the conduct of sampling arterial radial artery for EGA by the nurse, both in hospital and in outpatient and home care in the performance of integrated , provided that:
nurse he has taken full responsibility in the manner defined by current regulations;
has always provided its existence, the OU or the medical facility of reference, a protocol drawn up correctly, shared and approved, which is able to: ensure the proper practice of the technique of sampling arterial radial artery for EGA, and ensure the adoption of all measures necessary to prevent complications and the necessary treatment and timely management of risks .
The exam consists of a levy made on an arterial pulse arterial (radial artery, femoral artery, brachial artery). The blood gas analysis is essential for the diagnosis of respiratory failure, to assess the severity and to follow the course during therapy. The survey is also useful in blood gas evaluation of the different pathophysiological mechanisms of 'respiratory failure: an increase in pCO2 is in fact an expression of alveolar hypoventilation.
allows you to measure the values \u200b\u200bof:
  • hemoglobin (Hb)
  • hydrogen ions
  • pO 2 60-100 mmHg
  • pCO 2 40 mmHg
  • pH 7.35 to 7.45
From these values, the analyzer is then automatically able to extrapolate the plasma concentration of bicarbonate (HCO normally 3 = 21-25 mmol / L), the concentration of plasma total carbon dioxide (TCO 2 = 22-26 mmol / L), the saturation in oxygen (SAT = 95-99%) and the total content of O 2 blood (O 2 CT = 15-23 vol%).
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