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June 17, 2010

Dear Colleague,

An arterial blood gas (ABG) can give you information about a patient's oxygenation, acid-base balance, pulmonary function, and metabolic status. Normal values vary depending on the laboratory, but it is helpful to be familiar with the general ranges:

  • Pao2, 80 to 100 mm Hg
  • Sao2, 95% to 100%
  • pH, 7.35 to 7.45
  • Paco2, 35 to 45 mm Hg
  • HCO3-, 22 to 26 mEq/L
  • lactate, less than 2 mmol/L in critically ill patients.
Learn more about ABGs, other laboratory values, and disorders that impact these values, by exploring the articles in More Resources. Don't miss our next issue about summer emergencies and sports injuries, plus the latest articles and CE opportunities!

Interpreting and using the arterial blood gas analysis

Diagnostic Update BNP assays: Predicting the future of patients with heart failure

Lab Logic: Understanding idiosyncratic drug-induced neutropenia

DIAGNOSTIC UPDATE: Assessing the anion gap

How to recognize and respond to refeeding syndrome CE
Recognizing Sepsis in the Adult Patient CE

Lisa Bonsall, MSN, RN, CRNP
Clinical Edito

Fine tune your knowledge of strokes by accessing our newest collection, Focus On: Stroke. Read informative articles; educate yourself and your patients about prevention; remember your importance in the recovery process; and discover ways to support caregivers of stroke patients. Our other collections include: Focus on: Diabetes Collection -- Spring 2010, Focus on: Nursing Ethics, Focus on: Pneumonia, and more.

Every day you use numerous bones and joints as you walk, run, rise, sit, stretch, and just plain move. Review our new Special Report: Bone & Joint Health brought to you by HealthyWomen and Don’t miss these resources for patients and clinicians.

From hand hygiene to in-patient bathing to general wound cleansing, the power of chlorhexidine gluconate (CHG), especially four percent CHG, is more important today than ever before. Read  the white paper, Beyond Surgical Scrub: Preventing Infections Throughout the Healthcare Facility with Chlorhexidine Gluconate (CHG).

Stop by our blog NursingCenter's In the Round and see what’s on the minds of our nurses:

Upcoming Ovid Webcast
Innovative Ways Medical Libraries Can Support Nursing, June 30th, 12PM-1PM

Join Anne Dabrow Woods, Chief Nurse of Lippincott Williams & Wilkins and Ovid for an informative, free webcast featuring two medical librarians who have taken proactive, innovative steps to support nursing at their institution:

  • Going Beyond the Library to Integrate Your Resources into the Nurses' Environment with Donna Flake, MSLS, MSAS, AHIP, Library Director, North Carolina SEAHEC
  • Supporting Today's Magnet Journey in Nursing with Diane Rourke, MS, AHIP, Director of Library Services, Baptist Health South Florida

    Register today!

    Read this case study, in which the provider's recognition of abnormal vital signs led to a completely different diagnosis than one would expect with back and shoulder pain. Don’t miss Getting to the Heart of Back and Shoulder Pain.
    Advanced Emergency Nursing Journal
    (2 contact hours)

    Brush up on the dramatic changes in stroke care over the last decade. Don't miss Stroke care in the 21st century.
    Nursing Management

    (2.1 contact hours)

    Review the most common summertime hazards in Summer emergencies: Can you take the heat? Illnesses discussed include heat-related illnesses, drowning, lightning injuries, bee and wasp stings, and venomous snakebites.
    (2.3 contact hours)

  • Review our Recommended CE list on urinary catheter care, tremors, stroke care, and more...


    To achieve successful wound healing, it’s imperative to follow every step of skin and wound management, including assessment, planning, implementation, evaluation, and documentation. Be sure to examine PRACTICE POINTS: Clinical and Documentation Management Checklist.
    Advances in Skin & Wound Care: The Journal for Prevention and Healing

    This is a good time of year to brush up on options for preventing and treating urushiol-induced contact dermatitis. Take some time to read Emergency: Treating Poison Ivy, Oak, and Sumac.
    AJN, American Journal of Nursing

    Learn about medical conditions that are common to adults with Down syndrome as well as recommended health promotion strategies and nursing care for these vulnerable patients by reading Caring for an adult with Down syndrome.

    Browse our Recommended Readings on improving hospital care for patients with diabetes, campaign against pain, medication errors from the nursing perspective, and more.


    Read the articles in the latest Featured Journal online only on NursingCenter. The Featured Journal gives you the opportunity to get acquainted with the kind of coverage and clinical information it has to offer. Get to know our journals. The current Featured Journal is...


    The FDA has approved the following new drugs:

    • Prolia (denosumab) injection, a RANK ligand inhibitor, to treat postmenopausal women with osteoporosis at high risk for fracture.
      Lumizyme (alglucosidase alfa) for patients 8 years of age and older with late (noninfantile)-onset Pompe disease (alpha-glucosidase deficiency) who do not have evidence of cardiac hypertrophy.

    See more drug news.


    RAC Audit Series: Case Management & Documentation Essentials
    Steps to help you mitigate the threats to your hospital

    Which hospitals are at the greatest risk for exposure under the Medicare Recovery Audit Contractor (RAC) program? It's frequently the organizations that lack effective case management oversight and/or high-quality supporting documentation. From this series of webcast seminars, you'll gain a clearer understanding of the RAC program and what it means for your hospital, along with recommendations for compliant practices in three key areas: access management; discharge planning and care coordination; and clinical documentation improvement. Click here, or call MedLearn at 800-252-1578.


    Keep your drug knowledge current – and your patients safe – with the NEW Nusing2011 Drug Handbook!

    Order today to save 20% plus free shipping!


    BBraun Learning Center


    Goal: Prevention of catheter-related bloodstream infections
    Tool: Safe Infusion Therapy Learning Center

    Information you need to help you prevent CRBSI. Current features: catheter patency webcast series, Flushing Away the Myths; downloadable educational posters, Best Practices to Help Prevent CRBSI and Reducing IV Complications; educational videos and more.  Visit Learning Center Now!
    RN to BS in Nursing Degrees Online (12-18 months)
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    Post your resume to today:
    Let employers find you – and enter to win a $100 American Express Gift Card.

    NEW! From the American Journal of Nursing
    Sign up now for the new AJN eNews, a monthly newsletter delivered to your inbox, containing the latest clinical, nursing, and health topics. AJN's standards for accuracy and excellence, which have made us "the leading voice of nursing" for over 100 years, continue in this medium, as a trusted source for news on clinical practice, health care policy, professional issues and the "business of nursing, and drug and product alerts.

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