Transcutaneous blood gas monitoring is indicated when what need ...

[tsand2]

Transcutaneous blood gas monitoring is indicated when what need exists?
 
  1. To continuously analyze gas exchange in infants or children
  2. To quantify the real-time responses to bedside interventions
  3. To continuously monitor for hyperoxia in newborn infants
  4. To monitor CO levels following hyperbaric oxygen treatment
  a. 3 and 4 only
  b. 1 and 3 only
  c. 2 and 4 only
  d. 1, 2, and 3 only

Question 2

Which of the following is not a common tissue injury to be on guard for at the site of transcuta-neous blood gas electrode placement?
 
  a. Erythema
  b. Hematomas
  c. Burns or blisters
  d. Skin tears

[dyrone]

Answer to Question 1

ANS: D
Based on these factors, transcutaneous monitoring is a reasonable choice when there is a need for continuous, noninvasive analysis of gas exchange in hemodynamically stable infants or children. In these patients, the PaO2 can be calibrated against the PtcO2, thus decreasing the need for re-peated arterial samples. Because pulse oximetry cannot provide accurate estimates of excessive blood oxygen, the transcutaneous monitor also is useful for monitoring hyperoxia in neonates.

Answer to Question 2

ANS: B
To guide practitioners in providing quality care, the AARC has published Clinical Practice Guideline: Transcutaneous Blood Gas Monitoring for Neonatal and Pediatric Patients. Modified excerpts from the AARC guideline appear on p. 385.

[tsand2]

Excellent

[samiel-sayed]

TYSM