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- Title
Analysing arterial blood gas results using the RoMe technique.
- Authors
Bernardo, Marlon
- Abstract
Why you should read this article: • To enhance your knowledge of basic arterial blood gas analysis • To gain an understanding of various acid-base imbalances and the compensatory mechanisms associated with these • To learn how to apply the RoMe (‘Respiratory opposite, Metabolic equal’) technique when analysing arterial blood gas results. Arterial blood gas (ABG) analysis is a fundamental skill in healthcare practice, particularly when caring for acutely unwell or deteriorating patients. It can be useful in the assessment of patients’ acid-base balance and gas exchange, thereby informing appropriate care and management. However, many nurses find interpreting ABG results challenging. This article outlines a simplified approach to ABG analysis using three main values – pH, partial pressure of carbon dioxide and bicarbonate – and applying the RoMe (‘Respiratory opposite, Metabolic equal’) technique. It also provides brief descriptions of selected acid-base imbalances and explains how to identify whether these are uncompensated, partially compensated or fully compensated.
- Subjects
BLOOD gases analysis; NURSING; INTENSIVE care nursing; HYDROGEN-ion concentration; HEMOGLOBINS; OXYGEN; SODIUM; BLOOD sugar; POTASSIUM; CHLORIDES; ACID-base imbalances; CRITICAL care nurses; LACTATES; BICARBONATE ions; CARBON dioxide; CALCIUM; ACID-base equilibrium; PARTIAL pressure; TRANSCUTANEOUS blood gas monitoring; NURSING assessment
- Publication
Nursing Standard, 2024, Vol 39, Issue 3, p40
- ISSN
0029-6570
- Publication type
Article
- DOI
10.7748/ns.2024.e12193