Int J Clin Pediatr

International Journal of Clinical Pediatrics, ISSN 1927-1255 print, 1927-1263 online, Open Access

Article copyright, the authors; Journal compilation copyright, Int J Clin Pediatr and Elmer Press Inc

Journal website http://www.theijcp.org

Original Article

Volume 9, Number 3, September 2020, pages 72-76

Impact of Oxygen Delivery Patterns on Arterial Oxygen Saturation Among Children

Figure

Figure 1. ABG analysis report interpretation of children. ABG: arterial blood gas.

Tables

**Table 1.** Interpretation Guidelines for ABG Analysis Results
Component normal range unit measure	pH:7.35 -7.45	PaO₂: 80 - 100 mm Hg	PaCO₂: 36 - 44 mm Hg	HCO₃^-: 22 - 26 mmol/L	K⁺: 3.5 - 6 mmol/L
ABG: arterial blood gas; PaO₂: partial pressure of oxygen; PaCO₂: partial pressure of carbon dioxide; HCO₃^-: concentration of bicarbonate.
Respiratory acidosis	Decrease	Decrease	Increase	Normal	Increase
Respiratory alkalosis	Increase	Normal	Decrease	Normal	Decrease
Metabolic acidosis	Decrease	Normal	Normal	Decrease	Increase
Metabolic alkalosis	Increase	Normal	Normal	Increase	Decrease

**Table 2.** Description of Oxygen Delivery Patterns with SpO₂ and PaO₂ Levels
Variables	Admission (n = 60)		Day 2 (n = 60)		Day 3 (n = 60)		Day 4 (n = 36)
Variables	n	%	n	%	n	%	n	%
SpO₂: oxygen saturation; PaO₂: partial pressure of oxygen.
SpO₂ (%)
71 - 90	07	12	13	21	05	8	01	3
> 90	53	88	47	78	55	91	35	97
Delivery Devices (delivery/min)
Nasal prongs (2 - 4)	06	11
Face mask (5 - 6)	10	16	30	50	30	50	09	25
Oxy hood box (6 - 10)	44	73	30	50	30	50	27	75
PaO₂ (mm Hg)	n = 60		n = 60		n = 41		n = 12
< 80	11	18	17	28	6	15	2	17
80 - 100	49	82	43	72	35	85	10	83

**Table 3.** Comparative Clinical Profile of Children on Admission Under SpO₂ and PaO₂ Monitoring Based on ABG Interpretation
Respiratory acidosis (n = 21)	%	Respiratory alkalosis (n = 5)	%	Metabolic acidosis (n = 25)	%	Metabolic alkalosis (n = 8)	%
ABG: arterial blood gas; SpO₂: oxygen saturation; PaO₂: partial pressure of oxygen; HR: heart rate.
Shortness of breath	33	Hypokalemia	21	Vomiting	63	Increased HR	36
Shallow breathing	35	Hypernatremia	23	Diarrhea	63	Dysrhythmia	29
Increased HR	28	Hyperventilation	57	Kussmaul breathing	74	Refusal to feeds	50
Dysrhythmia	16	Seizure	2	Dec cardiac function	79	Restlessness/irritability	64
Hyperreflexia	35	Restlessness	84	Lethargy	70	Unspecific	36
Altered sensorium/drowsiness	44	Unspecific	16	Unspecific	21
Unspecific	56