An arterial blood gas (ABG) test is a blood test that measures:
The amount of oxygen in your blood. Oxygen is breathed into the lungs and carried to the bodyâ€™s tissues through the blood.
The amount of carbon dioxide in your blood. Carbon dioxide is a waste that the body creates. It is carried away from the bodyâ€™s tissues by the blood to the lungs and breathed out.
The balance of acids and bases in your blood. Your body needs a careful balance to be able to function well. Problems with your kidney or heart failure, diseases like diabetes, or a severe infection can cause an unhealthy imbalance.
The amount of bicarbonate in your blood. Bicarbonate is released or absorbed by your kidneys to keep the acid-base balance stable.
It may be done to:
Check how well your lungs are working
Check how well oxygen therapy or other breathing treatments are working
Provide information about whether your blood has the correct balance of acids and bases
How is the test done?
Your healthcare provider will ask you to sign a consent form for testing if appropriate. The consent form will state the reason you are having the test, what happens during the test, and what you may expect afterward. There is usually no special preparation for this test. If you are using oxygen therapy, the technician will need to know how much oxygen you are on, for example, 2 liters per minute, and how many minutes or hours you have been on oxygen before the test.
The blood is taken from an artery, because arteries carry oxygen-rich blood from the heart and lungs to the rest of the body. The artery most commonly used for an arterial blood gas test is the artery in the wrist where your pulse is usually checked, called the radial artery. A small amount of blood is taken from this artery with a needle. This test may cause more discomfort than blood tests that take blood from a vein. The blood is tested in a lab right away to get the most accurate results.
Because blood pressure is stronger in arteries than in veins, the puncture hole from the needle may take longer to close. Firm pressure is applied to the site for at least 5 minutes after the test to stop bleeding. If firm pressure is not used, blood can leak from the artery into the tissue and a large bruise can form where the needle went in.
In some cases, you may have a small tube placed in your artery that will stay there for several days for blood pressure monitoring or frequent arterial blood gas tests. The blood needed for an arterial blood gas test can be taken from this tube without the need to stick your artery with a needle each time.
What does the test result mean?
This test is only one part of a larger picture that includes your medical history and current health. Sometimes a test needs to be repeated to check the first result. Talk to your healthcare provider about your result and ask questions.
Many health problems can cause abnormal ABG results. Examples of possible causes of an abnormal result are:
Your body is not getting enough oxygen from your lungs because of lung disease or severe anemia
Your body is not getting rid of enough carbon dioxide because of lung disease
Your kidneys are not working properly
You have had severe vomiting or diarrhea
You have chronic heart failure
You have diabetes and your sugar is very high
If your test results are not normal, ask your healthcare provider:
If you need additional tests
What can be done to work toward a normal value
If or when you need to be tested again
Developed by RelayHealth.
Acute Care Advisor 2015.1 published by RelayHealth. Last modified: 2014-04-30 Last reviewed: 2014-04-10
This content is reviewed periodically and is subject to change as new health information becomes available. The information is intended to inform and educate and is not a replacement for medical evaluation, advice, diagnosis or treatment by a healthcare professional.
Cecil, R. L., Goldman, L., & Schafer, A. I. (2012). Acid-Base Disorders. Goldman’s Cecil medicine (24th ed.) Philadelphia: Elsevier/Saunders
Henry, J. B. (2011). Evaluation of Renal Function, Water, Electrolytes, and Acid-Base Balance. Henry’s clinical diagnosis and management by laboratory methods (22nd ed.) Philadelphia, PA: Elsevier/Saunders.