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Thursday, May 14, 2009

The ANALYSIS INSPECTION of BLOOD GAS
The analysis inspection of blood gas important to assess the function situation of the lungs. The inspection could be carried out through the taking of blood astrup from the artery radialis, brakhialis, or femoralis. Several important matters that were necessary in pay attention to in the taking of this blood covered:
a. Use the technique steril
b. Avoid stabbing that often to the place that was same to prevent aneurisma
c. Don't stuck the needle more than 0.5 cm
d. Must know anatomy to prevent the occurrence of stabbing to nerves
e. Carry out palpation before in carried out stabbing f. When needing the repetition of the analysis inspection of gas of the doctor's blood will put on “arteri line”



The aim: received blood arterial for the analysis of blood gas or test diagnostics that lain

The method carried out the taking of artery blood/astrup that is:
a. Prepare the equipment that in needed; Syringe 2.5 cc, heparin alcohol cotton/ betadin humid and dry sterile, cork, glases, plaster, gloves, the label with the identity pasien
b. Explained to the action patient and the aim in carried out the taking of blood arteri
c. Washed Hand
d. The comfortable position inpatient with arms ekstensi
e. Determine the area/the location of arms stabbing carried out palpation (radialis or brakhialis)
F. With gloves (glove)
g. Clean the area of stabbing with antiseptik
h. Take alcohol cotton/betadin and carried out palpation again, maintained fingertips in the position of the artery that tepat
i. Take the syringe and the needle that have been filled up with antikogulan
j. Carry out stabbing to the area of the artery that dituju with the corner Nald 300 - 450 for the area radialis and 450 - 600 for the area brakhialis and 90 % for the area femoralis k. Pay attention to the foundation of the syringe towards the existence pulpasi darh that entered the syringe and stopped the needle when already terlihat
l. Let blood enter in the syringe spontaneously without diaspirasi totalling 2 cc
m.. Take alcohol cotton/betadine and removed in the part on the area of stabbing and lifted the syringe along with the needle, immediately carried out the emphasis. This emphasis was maintained for 5 – 10 minutes by using dry cotton sterile (when needing plaster)
N. Clean the area penusukkan by using sterile cotton against blood that left the area penusukan
o. Carry out the infection and palpation against the area penususkan to detect the existence of the bleeding, and did the bandage pressed when the bleeding happening continued menerus
p. Prepare blood for the analyst's inspection, discarded air that was gotten in the syringe and stuck the needle in gabus
q. Give the label; the name, the taking hour, the temperature and ruangan
r. Place the blood syringe in the tube/the container/plastic that contained es
s. Gloves were taken off and the nurse washed tangan
t. Recorded/the documentation towards information that was needed paform pengisian
U. Sent specimen this blood immediately to laboratorium

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