Transcutaneous blood gas monitoring is indicated when what need exists?

1. To continuously analyze gas exchange in infants or children
2. To quantify the real-time responses to bedside interventions
3. To continuously monitor for hyperoxia in newborn infants
4. To monitor CO levels following hyperbaric oxygen treatment
a. 3 and 4 only
b. 1 and 3 only
c. 2 and 4 only
d. 1, 2, and 3 only


ANS: D
Based on these factors, transcutaneous monitoring is a reasonable choice when there is a need for continuous, noninvasive analysis of gas exchange in hemodynamically stable infants or children. In these patients, the PaO2 can be "calibrated" against the PtcO2, thus decreasing the need for re-peated arterial samples. Because pulse oximetry cannot provide accurate estimates of excessive blood oxygen, the transcutaneous monitor also is useful for monitoring hyperoxia in neonates.

Health Professions

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