Compensation | Blood Gas Interpretation | Arterial Blood Gases (Part 4)
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- Опубликовано: 28 июл 2024
- In this fourth lesson, we go further in the blood gas interpretation and cover the various types of compensation that your patient would be exhibiting, as well as how to identify each one.
We start out discussing what compensation is and what is happening inside the body when our patients are experiencing disturbances in their pH and blood gases, as a result of either a respiratory or metabolic process. We explain how the body attempts to compensate for these disturbances as well as what we should expect to see.
From there, we move on to more practice examples and walk through each one making sure to lay the foundation for the information that was just learned.
Hopefully by the end of this lesson you will feel confident in your ability to take an ABG result and be able to interpret it successfully!
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Make sure and check out the next and final lesson in this series in which we talk about the tic-tac-toe method of ABG interprertation:
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Also check out these other great series of lessons:
Hemodynamics Principals: ruclips.net/user/playlist?list...
Shock: ruclips.net/user/playlist?list...
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#ArterialBloodGas #Compensation #ICUAdvantage
Thank you guys so much for watching! We hope you enjoyed this lesson explaining about the body's compensation mechanisms for blood gases and how to interpret those results on your ABG! Please leave us a like if you enjoyed the video. We truly do appreciate it! Also we love hearing your comments so feel free to tell us what you think of the video.
Check out the entire ABG Playlist here: ruclips.net/p/PL2oVjKTYocdMz1qF-3iS6iUZ-R_fKbeJw
Also check out these other great lessons that we have available!
Hemodynamics: ruclips.net/p/PL2oVjKTYocdMBZlcIcWlESbOFFaGugQS2
Shock: ruclips.net/p/PL2oVjKTYocdPP0K8Fi49GfUgprICS-xMf
Don't forget to check us out and give us a like on Facebook as well! facebook.com/ICUAdvantage
Definitely recommending this video to other nursing students! I always had trouble recognizing what was compensating what, but only one simple step that you mentioned finally made it all clear to me. I went back to the exercises that I found hard to do, and got all of them right!
Thank you so much, all of your videos are so clear, helpful and easy to understand, and this one in particular was one that I absolutely needed.
Keep up the good work!
I never really understood this stuff but you've managed to make it seem pretty simple. Just a great video!
Omg thank you for this. I recommend other people to watch this if they don’t understand ABGs because you explain so clearly!
Fabulous! Happy to hear you found it to be helpful and explained well! Thank you.
Thank you SO MUCH ! I am an ICU nurse and this literally help me a lot for my university course ! Really Thank you as you are so GREAT with explanation then many other lectures!
Such great content. Excellent explanation of compensation interpretation. Thank you very much.
Thank you so much Dr Mandal! Happy to hear you liked it!
These videos are so helpful. You are a great teacher.
So nice of you to say! Thank you Bharti!
4th year final med student here, thank you so so so much!
This was sooo helpful!! Thank you thank you thank you.
Yay this is awesome! Glad it was helpful
I just had a quiz on this last week, and I didn't do as well as I had hoped. I just wasn't very solid with compensation. After watching this video, I think I've got now.
Thanks SO much!
You're very welcome! I'm so happy to hear that this video help you to understand the compensation better! Thanks for leaving a comment to let me know. 🙂
Thanks..this was really helpful
Thank you so you much,
you truly explained the topic very well , I'll definitely recommend this video to other students
You explain stuff so well!
Thank you very much! Glad you liked it!
Thanks !
Must watch, have taught in an easiest way possible
Awesome. Really glad to hear this
Thank you thank you thank you so much ❤️🌹
So helpful, you helped me revise for an exam! Thank you!
Yay! Happy to have helped Jodie! Hope the exam goes well!
Thank u so much for the clear explanation....
Glad to help!
The example you gave is
Respiratory Alkalosis partially compensated
I’m super happy that I watched this video. I’m getting ready for my CCRN exam and I was having trouble understanding ABG, but after this I’m surprised that I’m actually able to recognize ABG super fast!! And actually knowing the why of the changes. 👍🏻👌🏻
This is great to hear! Really happy that this was what you needed to make it click Lorena. Wishing you the best on your CCRN and you'll have to drop back in after you take it and let me know how it went.
Thanks this is so good👍🏻
Thanks a lot very helpful
I’m loving this channel more & more everyday (from India 🇮🇳)
Very cool! Hope I can keep it up :)
"Dr." Eddie Watson! you are a genius! - Junior New RN
Appreciate the kind word. Best of luck on your new nursing journey!
you are amazing .
Thank you very much!
You're welcome!
THANK YOU SO MUCH
BEST ICU lessons
❤️
Woohoo!!! TY!
Really useful
this is really helpful :)
thank you sooooooooooooooooooo much i always have a problem with the compensation thing , thank you thank you .
Happy to help! Sounds like its sticking now for you!?!? Thats awesome!
thank you :)
Thanks 🙏🏻
yw!
Thank u so much
You are welcome!
Thanks so much for your awesome videos! Could you also create something that covers A lines and how to set them up? Thank you!
Great suggestion! I've added it to the todo list
Gold
ultimate
OMG you just saved me out from hell, thank you so much
Partially compensated respiratory alkalosis
I really thought that the last ABG was a partial compensated metabolic alkalosis. Maybe because of loss of acids (vomitting,..) and the body lowerd the respiratory rate in order to hold back the PaCO2. I haven`t thought about respiratory alkalosis because it would also kind of mean that you are hyperventillating the patient, decreasing PaCO2 and increasing PaO2. But the PaO2 and saturation was pretty low... so that looks really weird for me.
I literally just made up numbers with to goal being to emphasize looking at the values as high or low and then using that to recognize the compensation, or lack there of, going on.
Try not to read into the values. :) It was truly just meant for basic analysis!
Very helpful video..guys dont just try to memorize the criteria for compensation type..try to really understand what's actually happening to these values and why..i promise you won't need to memorize criteria..it will just make sense
Absolutely! Great advice! This is what has always worked for me and is the approach I take in my lessons. I try to simply explain the WHAT of what is happening, so that people can have the foundation to understand the WHY and the HOW! 😊
Ph 7.2
PaCO2 58
Hco3 17
What type of abd?
Looks to be a mixed component acidosis. Both respiratory and metabolic components.
@@ICUAdvantage If the bicarb was 28 in this example, would this then be considered a partially compensated respiratory acidosis?
I have to disagree with you and a lot o people on "not fully compensated" ABG/CBG and this is why: with one sample you can not determine future outcomes. If you determine that some has an acidosis of an alkalosis based on the pH, and the pH isn't on the normal values, then you have a uncompensated patiente.
With multiple ABG/CBG you can may argue and determine a improving/degrading trend, but you still are predicting the future based on past exames (for sure you have many signals that can help you determine an outcome of a specifiec intervention) but on my eyes is always a guess. Is for a reason that the patiente can be uncompensated.
let me know of makes any sense, maybe I'm missing something....
🙏🏼