by Editorial Staff And Contributors
En Espaol (Spanish Version) A blood test to identify the levels of certain gases that are indicators of lung and kidney function.
Blood and an artery in the wrist, arm, or groin
2008 Nucleus Medical Art, Inc.
This test determines the amount of oxygen and carbon dioxide dissolved in the blood, as well as the acid/base status. Oxygen and carbon dioxide levels are indicators of lung function. The acid/base status provides information on how well the lungs and kidneys are functioning.
This test helps evaluate respiratory problems, such as asthma, and other conditions that affect the lungs. It also helps evaluate metabolic problems that affect acid-base status. If you are undergoing oxygen therapy, this test will determine whether or not the therapy is effective.
There are no risk factors associated with arterial blood gases.
If the blood is going to be taken from an artery in the arm, an Allen test will be done to evaluate blood circulation. The Allen test involves pressing the radial and ulnar arteries in the wrist, which causes the palm to turn white. When the arteries are released, the skin turns pink and flushes. Failure to flush within five seconds indicates decreased blood flow, and another site for puncture will need to be selected.
AnesthesiaNone Description of the ProcedureThe puncture site is swabbed clean. The needle is inserted into the selected artery, and blood is withdrawn. The needle is then removed. After ProcedureThe puncture site should be compressed for a minimum of five minutes to stop the bleeding. If you have recently taken aspirin or other blood-thinning medications, it will take longer for the bleeding to stop. Once blood flow has stopped, a bandage will be placed on the puncture site, and should not be removed for at least 30-60 minutes. How Long Will It Take?About 15 minutes, including preparation, blood draw, and compression. Will It Hurt?There may be some discomfort during insertion of the needle. Possible Complications Complications from an arterial blood draw are fairly rare. They include: Persistent bleedingBruisingImpaired circulationInjury to the artery Average Hospital StayHospital stay is not required. Postoperative CareKeep the puncture site clean and protected until it heals. OutcomeBased on the test results, which should be available quickly, your doctor can assess your lung and kidney function. Normal results are:TestNormal ResultsPartial pressure of oxygen (PaO2)75-100 mm HGPartial pressure of carbon dioxide (PaCO2)35-45 mm HGpH7.35-7.45Oxygen saturation (SaO2)94-100%Bicarbonate (HCO3)22-26 mEq/literAbnormal results may indicate respiratory, metabolic, or kidney problems or disease.
Call Your Doctor If Any of the Following OccursSigns of infection, including fever and chillsNumbnessExcessive bleedingWeakness of an extremityTinglingBruising RESOURCES: American Association for Respiratory Carehttp://www.aarc.org National Heart, Lung, and Blood Institutehttp://www.nhlbi.nih.gov CANADIAN RESOURCES: BC Health Guidehttp://www.bchealthguide.org/ Health Canadahttp://www.hc-sc.gc.ca/index_e.html References: American Association for Respiratory Care website. Available at: http://www.aarc.org . Last reviewed March 2008 by Jill D Landis, MDPlease be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
