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stream <>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 595.32 842.04] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> endobj <> 85 Such persons must have documented training and demonstrated proficiency in pH-blood gas analysis, preventive maintenance, troubleshooting, instrument calibration, and awareness of the … 3. Such persons should be, at minimum, high school graduates (or equivalent), with strong background in mathematics, and preferably with one or more years of college courses in the physical and biological sciences. Z��**!��l!W�����K���-����@4�Q����z�+/�EuS�A�7��D�5^?��,���Sh#]Pm��ǒq�H��t����8�f o���Ck��f,�_��j� Routine or standing orders for capillary puncture are not recommended. Arterial and Capillary Blood Gases For critically ill patients or those with shock or hypotension (systolic blood pressure <90 mm Hg), the initial blood gas measurement should be obtained from an arterial sample (see sections 7.1.3, 8.4 and 8.5 in the original guideline document). ���� JFIF ` ` �� C Aim/Purpose of this Guideline. ���c7V���AN#�~V?P�k �@O��6GO�YW�t�,ˤ�/.�P�6G����O&�����eB��k��E��~BE.���!zE�?m ��y�ZW�}�ž!�FZ�2�&�B��vH�����_��>a%M�����&Q�H�)BG@k� stream 4 0 obj A well-beaded drop of blood should form at the puncture site. $.' Do not let the blood run down the finger or onto the fingernail. �� ą�>�ZU.UI�[[���h��� ��p�p����r� $ѪT�����>�{.�g�E>K6��L��+��}�J#�����Kj���1r�y�>7w�v.i���T�7Q�k)�ER�e&gu5������Y����Z~��d��\͍=��:Ԯ�>��r�֨��D��$�x;��QH�/ۣC5(�ì�m��m���n( x�Z�r�F}�W�S Blood gas analyzers measure blood pH and the oxygen and carbon dioxide tensions of blood (pCO2 and pO2).
The update of this clinical practice guideline is based on 237 clinical trials, 54 reviews and 23 meta-analyses on Blood Gas Analysis (BGA) and Hemoximetry BGA 2.0 SETTING: Blood gas analysis should be performed by trained individuals16, 17 in a variety of settings including, but … 4. ݠ�Gx8�đ2���!���ꎧNU�BX��a%̴Te��P� RIe��2ME��+�-K�i�f���p1U�zj�-�BE2?/M*���Y�8�l�5 qc��ź�H*ϗ��E�����Q4��_��^��Pɕ��'���}4�ZYR�ʏ�!��;2���US�&r�L;�\_��*�ԗ�J(׳TL�P���F�h+"�;�jE�U�Rv�X��Ex���oN֨�5¯H��K����M�������aX�x,��p.Q������� a few hours after admission. Arterialised capillary blood samples obtained from the earlobe of stable adult patients may be used to measure a number of variables that are required to safely monitor patients undergoing treatment with Non-Invasive Ventilation (NIV). 2. endobj endstream << /Length 5 0 R /Filter /FlateDecode >> stream Guidelines from Other Organizations — Current evidence-based guidelines, statements, and consensus reports ... Capillary blood gas sampling for neonatal and pediatric patients (2001) PDF: AARC-Retired Guidelines. %PDF-1.5 5 0 obj 1 0 obj The senior house officer measures a capillary blood gas which shows a PCO2 of 8.7 kPa. �t����j�J{�m�r����3���� �[�3����9�[c��p�{ӡf �zo:T?%�|��h/=h�ȭ�Z#��k�ѵ�Ѣ����ɪ�p�z�5 %��������� Assessing response to bronchodilator therapy at point of care (1995) PDF:
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<> If blood flow is inadequate, gently message the proximal portion of the finger and then press firmly on the distal joint of the finger. <> endobj Earlobe Capillary Blood Gas Sampling in Adults Clinical Guideline V1.0 Page 2 of 12. <>>> %���� x��VMo�@�#��h����E��D�������d0M�C�}g�R��K,$ۘy3ofg�0��U�k�����l^U��w�#�ٺ<=�֟�l����cZ�����,���t����0�N9цM��T*�=L'��C��4�+ɏ�d��7�8Ⴌ_�^���[��=^V��&"�3Y?N'� &�ߗd`�(���oE���|����2=�-�u?�h��a�Ϙ��,�o�8�Q�$Yʼn�R��':"?t �NElko�=Z� g��:�����f�{� The following may assist the clinician in assessing the need for capillary blood gas sampling: 8.1 History and physical assessment;(23) Wipe off the first droplet of blood with a sterile gauze or cotton ball. 2x]�A�U�Ne�|�C�vǥ��╬wX�`T��{~�{Za��A�4�
Capillary blood gas sampling is an intermittent procedure and should be performed when a documented need exists.
",#(7),01444'9=82 Venous blood samples or, if blood gases are requested, arterial blood samples are recommended instead of capillary blood samples when two attempts at capillary sampling fail to give a satisfactory sample, and when more than two microcollection devices for capillary blood are needed for the laboratory tests requested .