I’m so proud of myself for achieving 100% on your practice questions, but I am even more proud of you guys for making nursing lessons easier, fun, and interesting! Thank you so much!!! Please continue to make more videos to help us struggling nursing students (during the pandemic) how to learn fast and effective! Loveyou, guys!
I'm confused with 7:30, can you please help ? Why wouldn't it be respiratory alkalosis? PcO2 and bicarb are both off by 3 points but why would it be metabolic and not respiratory. How did you decide metabolic over resp 😨
Firstly, the pH is on the acidotic side. So technically, that should be a respiratory problem, but we see that the CO2 levels have not increased to cause said acidosis. Hence we look at the HCO3 value, which has decreased indicating a metabolic issue. That is why its a metabolic acidosis. Lastly, detecting the acidosis, the body decided to lower its CO2 (which is 32) hence bringing back the pH to normal and so we conclude that it is a fully compensated metabolic acidosis. Hope this helps :)
Ben God bless you and the entire mint family.... Pls I need your help more do you guys conduct online class outside RUclips teaching... You have helped me understand all I see as impossible to understand.... Pls help me with electrolytes ok
Hi Mint! thanks. Watching your videos on ABGs made me understand it very well but most of the questions I see on ABG ask if it is compensated or uncompensated not fully or partially compensated. Please how do I interpret if it is Compensated or uncompensated. TIA
Hi! Second part of the video actually explains it. So there is compensation when another system kicks in to return the pH to normal. Eg. Respiratory acidos - kidneys increase bicarb. Metabolic alkalosis, respiration decreases to increase CO2 (relates to acid).
I have a doubt in last problem. He said it's metabolic n acidosis with full compensation. But shouldn't it be respiratory n acidosis with full compensation as 32 for CO2 is low value? I am just asking😅 its ticking my head.
Co2 = acid Hco3 = base Decrease co2 alkalaine Decrease hco3 acidic Both pco2 and hco3 are low but which causes the acidity? The hco3. So it is metabolic. Hope these helps.
to add to my question, what if the ph is 7.40 and co2 and hco3 is both abnormal, having compensation how do u read that? thank u for the vids it is so useful for nurses taking/ reviewing for nclex :)
Remember a lot of COPD patients tend to be like this. We call them the 50/50 club as their CO2 and PO2 tend to be in the 50’s and for them it can be normal so their PH is normal which makes them compensated and no treatment is typically necessary as this is where they live. The bicarbonate will usually be up as well as it’s making up for the high CO2 and allows the PH to be normal. Nice thing with respiratory acidosis is now we have BIPAPS and the V60 can run on a battery for so many hours so if you need to transport someone you can unlike those god awful vision CPAP/BIPAP! I’m not a nurse or a student but an RT so blood gasses are right up our alley and are kind of fun. Many times have I had to correct a doctor on how to treat an unstable blood gas. Even had a doctor try to put a med/surg patient in PCU and I stood there and said I wanted him to go to ICU. Doctor didn’t want to put him in the ICU as he felt he was stable enough for PCU but I had way more experience with blood gasses, he sounded terrible, and looked bad. Within 30 minutes after the doctor agreed to the ICU the nurse called and said she needed me now to come up and intubate him. By the time I got there within 2 minutes he was in full cardiac arrest. He didn’t make it. Doctor (who was obviously very young and new) called me over and thanked me for insisting he go to the ICU. We work as a team. Doctors unless pulmonary or intensivists and nurses don’t read blood gasses very much but we read them all day so always use the others in the team.
bro first of all ph has decreased(less than normal) now if u wanna know whats the reason for acidosis, you have to check up the diagnosis .....the above case is showing that the acidosis is gonna worsen and put the patient into coma very soon.
You have to determine whether any secondary disorder is present along with respiratory acidosis or compensation only occurs, by using DELTA DELTA equation.. please do watch my Tutorial on Acid base balance part 3
I’m so proud of myself for achieving 100% on your practice questions, but I am even more proud of you guys for making nursing lessons easier, fun, and interesting! Thank you so much!!! Please continue to make more videos to help us struggling nursing students (during the pandemic) how to learn fast and effective! Loveyou, guys!
I'm confused with 7:30, can you please help ? Why wouldn't it be respiratory alkalosis? PcO2 and bicarb are both off by 3 points but why would it be metabolic and not respiratory. How did you decide metabolic over resp 😨
My question too I think he’s wrong.
For me it is respi acidosis
Firstly, the pH is on the acidotic side.
So technically, that should be a respiratory problem, but we see that the CO2 levels have not increased to cause said acidosis. Hence we look at the HCO3 value, which has decreased indicating a metabolic issue. That is why its a metabolic acidosis.
Lastly, detecting the acidosis, the body decided to lower its CO2 (which is 32) hence bringing back the pH to normal and so we conclude that it is a fully compensated metabolic acidosis.
Hope this helps :)
@@gargik1234 thank you, that part confused me so much till you explained it
this is literally the only good ABG video thank you pinoy brother
You people are genius💕 finally i found a good teacher who can teach me abg analysis without any doubt🔥thanks a lot keep going inspire more students❤️
Awww thank you so much!!
@@MagicinNursingTeam thank u very much sir becoz of u today i got full marks in my practicals abg analysis.
Your video over NCLEX strategy was very helpful, I have passed the NCLEX in my first attempt!
TheSkg2011 Congratulations!!! Leaving that test room was dreadful right? Awesome awesome awesome job!!
Wow CONGRATULATIONS! I'm glad I found this channel too!👍🏾
Guess what, I could not sleep a night before at all and the day I took the exam.
I was so stressed. Thank God 🙏 it's over now.
When I was preparing for the NCLEX, I watched your video so many times to gain confidence in myself.
You guys are so awesome you I’m a respiratory student and after watching your video I finally got it. Thanks for help will definitely share your video
very helpful video, thank you for posting. I appreciate it
You’re very welcome!
you guys are going to keep me afloat with our quarantine online nursing school!
Tough times but you can do it and good luck!
Thank you so much for your explanation, proud of you 👍🏽 ❤
Very helpful
Thank you 🤗
👍👍👍👏. Thank you very very much. Now I'm OK with ABGs.
Nice nice!
@@MagicinNursingTeam Thank you🙏🙏🙏. Can you help me with EKG, the basic. I'm having some difficulties to interpret the EKG strips .PLEASE 🙏
Thank you so much 😊😊
Really really you’re the best
Awww thank you!!
Got everything correct........bcz of u both thnx a lottttt
Awesome!!!
@@MagicinNursingTeam thank you 😁
thank you guys ❤
thank you so much, amazing video
Thank you so much! You're such a great help 🙏💛
Glad to help!
I love it. I now understand ABG. Thanks.
Thanks for your help 👍🏾
B. Berya you’re very welcome 😊
I was dying in the physiology seminar bc I didn't get it. But it's actually easy! Thank you!
Nice nice
Excellent brother! Thank you
You got it!
Nice class .Thank you
I got it I understand now nice thank you for this video
Very helpful
Marvelous
Thank you very much 🥰 your explanation is very nice I follow you from IRAQ .
Thanks for being here!
I like the way you explain ❤️ sir. Aise to hmare college ke profesir ne bhi nai samjaya tha ☹️
That was very helpful. Thank you
Thankyou😇😇😇
Thank you!
You're welcome!
Beautiful thank you
Thanks for your video. Very useful
Thank you!!
thank you so much sir....love your vedios
Thank you!!
@@MagicinNursingTeam you are welcome sir ☺
outstanding video sir.
Thank u for ur explanation its very useful
Thans so much u helped me 😭😭😭
Amazing review! Thanks!
You’re welcome!!!
Thank you so much!
Very nice video
Ben please help me with heparin vs warfarin video
Thnks bro ...
Great practice resource!
Thanks!!
Thank you 😀
Starts at 0:47 Reviewing for NCLEX now and going through your old videos. :)
Very helpful, thank you
You’re welcome!
Example . Where PH is7:43,
I thought the normal ph is 7:35-7-45, considered acidosis, yet you said that 7:43 is alkalosis, which is right
Great one! Thank you
Glad to help!
Ben God bless you and the entire mint family.... Pls I need your help more do you guys conduct online class outside RUclips teaching... You have helped me understand all I see as impossible to understand.... Pls help me with electrolytes ok
Thanks so much! This video is helpful!
Glad to help!!
Hi Mint! thanks. Watching your videos on ABGs made me understand it very well but most of the questions I see on ABG ask if it is compensated or uncompensated not fully or partially compensated. Please how do I interpret if it is Compensated or uncompensated. TIA
Hi! Second part of the video actually explains it. So there is compensation when another system kicks in to return the pH to normal. Eg. Respiratory acidos - kidneys increase bicarb. Metabolic alkalosis, respiration decreases to increase CO2 (relates to acid).
Very easy to understand. Are you guys Filipino nurses? Kudos to your easy to understand explanations.
Yes and thank you!!
excellent
Thanks 😊
You’re welcome!
Thank you so much
You’re very welcome!!
Where does ph 7.40 belong to? Is it considered acidosis? Or alkalosis?
Thank you
Anytime!
I need help with how to insert NG..... Tube videos ..... And make video on electrolyte imbalance. And care of chest tube
Ben my nclex exam is coming up soon I want u guys to be pumping us with new videos so that I can cover up....
Ben I need help with input and output calculation..... Please help me
Very usefull
Thanks!
Can u share Pulmonary function test vedio plzz
thanks alot
You’re welcome!!
Best
I am confused on how you got the answers to the last 2 problems?
Thank you. It’s brief but very effective learning tool to get the idea.
❤️
I have a doubt in last problem. He said it's metabolic n acidosis with full compensation. But shouldn't it be respiratory n acidosis with full compensation as 32 for CO2 is low value? I am just asking😅 its ticking my head.
Co2 = acid
Hco3 = base
Decrease co2 alkalaine
Decrease hco3 acidic
Both pco2 and hco3 are low but which causes the acidity? The hco3.
So it is metabolic. Hope these helps.
I don't understand the concept of compensation....please sir...answer my question...
Ph-7.15
Co2-27.2
Hco3-9.5
Can u answer the condition
Metabolic acidosis, Partially compensated
one question, what if the ph is 7.40?? i know it is rare but what if??
exactly even i had that doubt...i think we have to know the symptoms of the patient to decide whether he was acidotic or alkalotic
okay this made so much sense - now can I get a video on fluid shift??
🤓 thanks
You’re welcome!!
If all three values are abnormal then
Then most likely, compensation is taking place. Please check out the second part of the video, we discussed about compensations. Hope this helps!
to add to my question, what if the ph is 7.40 and co2 and hco3 is both abnormal, having compensation how do u read that? thank u for the vids it is so useful for nurses taking/ reviewing for nclex :)
Hello! We have an ABG Interpretation video that could answer your question. Check it out!
ruclips.net/video/EML9vE1nOgk/видео.html
Remember a lot of COPD patients tend to be like this. We call them the 50/50 club as their CO2 and PO2 tend to be in the 50’s and for them it can be normal so their PH is normal which makes them compensated and no treatment is typically necessary as this is where they live. The bicarbonate will usually be up as well as it’s making up for the high CO2 and allows the PH to be normal. Nice thing with respiratory acidosis is now we have BIPAPS and the V60 can run on a battery for so many hours so if you need to transport someone you can unlike those god awful vision CPAP/BIPAP! I’m not a nurse or a student but an RT so blood gasses are right up our alley and are kind of fun. Many times have I had to correct a doctor on how to treat an unstable blood gas. Even had a doctor try to put a med/surg patient in PCU and I stood there and said I wanted him to go to ICU. Doctor didn’t want to put him in the ICU as he felt he was stable enough for PCU but I had way more experience with blood gasses, he sounded terrible, and looked bad. Within 30 minutes after the doctor agreed to the ICU the nurse called and said she needed me now to come up and intubate him. By the time I got there within 2 minutes he was in full cardiac arrest. He didn’t make it. Doctor (who was obviously very young and new) called me over and thanked me for insisting he go to the ICU. We work as a team. Doctors unless pulmonary or intensivists and nurses don’t read blood gasses very much but we read them all day so always use the others in the team.
PH is increase. Ex 7.08
CO2 also increase ex 55
HCO3 is low 15
This time how to diagnose please explain ........
Bro answer
bro first of all ph has decreased(less than normal) now if u wanna know whats the reason for acidosis, you have to check up the diagnosis .....the above case is showing that the acidosis is gonna worsen and put the patient into coma very soon.
You have to determine whether any secondary disorder is present along with respiratory acidosis or compensation only occurs, by using DELTA DELTA equation.. please do watch my Tutorial on Acid base balance part 3
Change battery
Thank you