Category: Resus

A-a gradient

A-a gradient = Alveolar Oxygen – arterial Oxygen

This is “relatively” simple way of working out if the paO2 on a ABG is normal, and demonstrates V/Q mismatch well. V/Q mismatch is simple terms is either an area of the lung either under ventilated(pneumonia) or under perfused (PE). Read more

COPD think VBG

Why VBG instead of ABG?

  • Pain – we all know and warn our patients ABG’s are painful. Patients know it to and delay presentation.
  • Number of bloods taken – patients attending with COPD will generally have venous bloods taken at triage. Would you want stabbing again if it could be avoided?

Read more