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An ABG test measures the blood gas tension values of the arterial partial pressure of oxygen (PaO2), and the arterial partial pressure of carbon dioxide (PaCO2), and the blood's pH. In addition, the arterial oxygen saturation (SaO2) can be determined. Such information is vital when caring for patients with critical illnesses or respiratory disease.
The partial pressure of oxygen (pO 2) in the pulmonary alveoli is required to calculate both the alveolar-arterial gradient of oxygen and the amount of right-to-left cardiac shunt, which are both clinically useful quantities. However, it is not practical to take a sample of gas from the alveoli in order to directly measure the partial pressure ...
This is calculated by dividing the PaO2 by the FiO2. Example: patient who is receiving an FiO2 of .5 (i.e., 50%) with a measured PaO2 of 60 mmHg has a PaO 2 / FiO 2 ratio of 120. In healthy lungs, the Horowitz index depends on age and usually falls between 350 and 450.
Blood gas tension refers to the partial pressure of gases in blood. [1] There are several significant purposes for measuring gas tension. [2] The most common gas tensions measured are oxygen tension (P x O 2), carbon dioxide tension (P x CO 2) and carbon monoxide tension (P x CO). [3]
The Alveolar–arterial gradient (A-aO 2, [1] or A–a gradient), is a measure of the difference between the alveolar concentration (A) of oxygen and the arterial (a) concentration of oxygen.
Fraction of inspired oxygen (F I O 2), correctly denoted with a capital I, [1] is the molar or volumetric fraction of oxygen in the inhaled gas. Medical patients experiencing difficulty breathing are provided with oxygen-enriched air, which means a higher-than-atmospheric F I O 2.
Dissolved oxygen levels required by various species in the Chesapeake Bay (US). In aquatic environments, oxygen saturation is a ratio of the concentration of "dissolved oxygen" (DO, O 2), to the maximum amount of oxygen that will dissolve in that water body, at the temperature and pressure which constitute stable equilibrium conditions.
A lower oxygenation index is better - this can be inferred by the equation itself. As the oxygenation of a person improves, they will be able to achieve a higher PaO2 at a lower FiO2. This would be reflected on the formula as a decrease in the numerator or an increase in the denominator - thus lowering the OI.