Summary Critical Care Notes

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Physical Assessment
Reusable Assessment Form

Pt. Identifier: Room: Age:
Diagnosis:


Surgeries/Past Hx:

Activity: Diet: DNR/DNI:
Allergies:
Neurological/MS:
ICP:
Cardiac:
VS/A-line:
ECG:
Hemodynamics: PAD PAS PCWP CVP
IABP:
Respiratory:
Ventilator:
ABGs/SpO2:
GI:

GU:

Wounds/Incisions:

Drainage tubes:

Treatments:

Special needs:

Religion/Other:




BASICS

, BASICS
BASICS


Normal Arterial and Venous Blood Gases

Blood Gas
Components Arterial Venous
pH 7.35–7.45 7.31–7.41
P O2 80–100 mm Hg 35–40 mm Hg
PCO 2 35–45 mm Hg 41–51 mm Hg
HCO3- 22–26 mEq/L or mmol/L 22–26 mEq/L or mmol/L
Base excess (BE) –2 to +2 mEq/L or mmol/L –2 to +2 mEq/L or mmol/L
O2 saturation 95%–100% 68%–77%

Values denoted are at sea level.




Quick Blood Gas Interpretation

Acid-Base Disorder pH PCO2  HCO3-
Respiratory acidosis    if compensating
Respiratory alkalosis    if compensating
Metabolic acidosis  and (+)  if 
base excess compensating
Metabolic alkalosis  and (–)  if 
base excess compensating
Mixed respiratory and   
metabolic acidosis
Mixed respiratory and   
metabolic alkalosis

Full or total compensation: pH will be within normal limits.




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