Author Question: A respiratory therapist is questioning the accuracy of the ABG results obtained on a patient in the ... (Read 14 times)

SAVANNAHHOOPER23 · **on:** Jul 16, 2018

A respiratory therapist is questioning the accuracy of the ABG results obtained on a patient in the ICU. The results show a pH and PaO2 that seem unreasonably high, while the PaCO2 seems unreasonably low.

Which of the following would most likely cause these erroneous results?
a. A venous sample was obtained.
b. There was excessive heparin in the blood gas syringe.
c. The sample was excessively delayed in analysis.
d. There was an air bubble in the sample.

Question 2

When reviewing a SOAPIER progress note, all of the following would be found in the O area EXCEPT:

a. hemodynamic data.
b. patient's admission complaint.
c. blood pressure.
d. sputum production.

CAPTAINAMERICA · **Reply #1 on:** Jul 16, 2018

Answer to Question 1

D
An air bubble in the sample would cause an increase in the pH and PaO2 while causing a decrease in PaCO2.

Answer to Question 2

B
The O in SOAPIER stands for objective information and would include hemodynamic data, vital signs, and sputum production. The patient's admission complaint would not be recorded in the objective data but would be located on the admission note or history section of the medical record.