As I have problems remembering the questions I want to ask, putting your lessons together with school lessons helps to clarify the entire lesson. Thank you!
Hi Toot, Just wanted to say this is the best video on ABG's. I have referenced your video for Patho, Med Surg, and now Peds. You make the concepts simple and easy to understand. Bravo and please keep making these nursing videos or until I pass the NCLEX. Subscribed!
Dr latika Budhauliya Great question; this example you’re describing is outside of the simple acid-base examples I provided. :) Whenever the PCO2 and HCO3- are abnormal in opposite directions, (as in your example, one’s high and one’s low), a mixed respiratory and metabolic acid-base disorder exists. The University of Connecticut published a rule of thumb that says: When the PCO2 is elevated and the [HCO3-] reduced, respiratory acidosis and metabolic acidosis coexist. When the PCO2 is reduced and the [HCO3-] elevated, respiratory alkalosis and metabolic alkalosis coexist Hope this helps!
Dr latika Budhauliya Great question; this example you’re describing is outside of the simple acid-base examples I provided. :) Whenever the PCO2 and HCO3- are abnormal in opposite directions, (as in your example, one’s high and one’s low), a mixed respiratory and metabolic acid-base disorder exists. The University of Connecticut published a rule of thumb that says: When the PCO2 is elevated and the [HCO3-] reduced, respiratory acidosis and metabolic acidosis coexist. When the PCO2 is reduced and the [HCO3-] elevated, respiratory alkalosis and metabolic alkalosis coexist Hope this helps!
If PH is high, it would be a alkaline problem indicating alkalosis. If PaCO2 is high it indicates acidosis from a hypoventilation problem. If HCO3- is low, it indicates acidosis from the kidney being affected. Now look at the total picture and decide whether it is the lung or the kidney causing the problem. See which organ values are farthest from their normal valve and bingo, whichever is farthest away from their normal value that is the culprit. Therefore if the HCO3- value was farthest away from its normal valve when compared to the PaCO2 it would be a metabolic problem that's causing the shift, making it's diagnosis Metabolic Alkalosis
An infant, three weeks old, is admitted to the Emergency Room. The mother reports that the infant has been irritable, difficult to breastfeed and has had diarrhea for the past 4 days. The infant’s respiratory rate is elevated and the fontanels are sunken. The Emergency Room physician orders ABGs after assessing the ABCs. The results from the ABGs come back from the laboratory and show: pH = 7.37 Pa C02 = 29 mmHg HC03 = 17 mEq/L Just looking at the numbers and using your method for Fully Compensation and looking at who is the furthest out of range you would answer Compensated Respiratory Alkalosis since CO2 is 6 out of range and HCO3 is 5 out of range, yet the answer given is Compensated Metabolic Acidosis .....???
No. Uncompensated is when there is no help from the value that is not causing the issue. The acid would be out of wack, and either the CO2 or the HCO3 would have out of wack, and the remaining would be normal. That is uncompensated.
This video made it all CLICK for me!!!! Thank you!!!!!! You are one of the most effective nursing instructors on RUclips. Period.
such a good teacher! we had an entire lecture yesterday and i wasnt able to fully grasp. I watched this video breakdown and now i feel very confident!
The best video of ABG till I hv found..it's best for learning.. thank you doctor
As I have problems remembering the questions I want to ask, putting your lessons together with school lessons helps to clarify the entire lesson. Thank you!
Hi Toot,
Just wanted to say this is the best video on ABG's. I have referenced your video for Patho, Med Surg, and now Peds. You make the concepts simple and easy to understand. Bravo and please keep making these nursing videos or until I pass the NCLEX. Subscribed!
Thank you!
Good video, but can barely hear you even with headphones
Wow you are such a good teacher! Thanks for the refresher!
I love the way you teach tootRN! You make it so simple to understand :)
Thank you so much! Your videos are incredibly helpful, and your voice is so calming!
Great video! So needed for my medical physiology class right now! Thank you! :)
Thank you for such a great refresher! Great explanations!
This video was great! I completely get it now! You're the best.
This was so helpful, thank you very much!
This was awesome!! Very helpful. thank you so much
Your videos are so helpful! Thank you! Xx
Love this video soo helpful....thank you
Fantastic once again!!
love your videos! such a big help! thanks!
That was great. Thank you.
Great explanation. You made this very easy to understand. What software/program did you use for this presentation? Thanks
Screen Flow :-)
Thank you for this helpful video. i will be taking my nclex next month. any new news or tips that you can share with me. thanks.
Great video! thank you!!
Thanks! I'm glad it helped!
Excellent video! I'm taking my exam this evening! Thank u!
Man, where were you when I was in nursing school. Some of these schools just take your money and don't teach you a darn thing.
Thanks you so much!!!!!
please do some lectures on pediatric
hi! just a bit confused,want to ask you if ph is high, and PaCO2 is high,and HCO3 is low,what could be the dig?
Dr latika Budhauliya
Great question; this example you’re describing is outside of
the simple acid-base examples I provided. :)
Whenever the PCO2 and HCO3- are abnormal in opposite
directions, (as in your example, one’s high and one’s low), a mixed respiratory
and metabolic acid-base disorder exists. The University of Connecticut
published a rule of thumb that says:
When
the PCO2 is elevated and the [HCO3-] reduced, respiratory acidosis and
metabolic acidosis coexist. When
the PCO2 is reduced and the [HCO3-] elevated, respiratory alkalosis and
metabolic alkalosis coexist
Hope this helps!
Dr latika Budhauliya Great question; this example you’re describing is outside of
the simple acid-base examples I provided. :)
Whenever the PCO2 and HCO3- are abnormal in opposite
directions, (as in your example, one’s high and one’s low), a mixed respiratory
and metabolic acid-base disorder exists. The University of Connecticut
published a rule of thumb that says:
When
the PCO2 is elevated and the [HCO3-] reduced, respiratory acidosis and
metabolic acidosis coexist. When
the PCO2 is reduced and the [HCO3-] elevated, respiratory alkalosis and
metabolic alkalosis coexist
Hope this helps!
If PH is high, it would be a alkaline problem indicating alkalosis. If PaCO2 is high it indicates acidosis from a hypoventilation problem. If HCO3- is low, it indicates acidosis from the kidney being affected. Now look at the total picture and decide whether it is the lung or the kidney causing the problem. See which organ values are farthest from their normal valve and bingo, whichever is farthest away from their normal value that is the culprit. Therefore if the HCO3- value was farthest away from its normal valve when compared to the PaCO2 it would be a metabolic problem that's causing the shift, making it's diagnosis Metabolic Alkalosis
An infant, three weeks old, is admitted to the Emergency Room. The mother reports that the infant has been irritable, difficult to breastfeed and has had diarrhea for the past 4 days. The infant’s respiratory rate is elevated and the fontanels are sunken. The Emergency Room physician orders ABGs after assessing the ABCs.
The results from the ABGs come back from the laboratory and show:
pH = 7.37
Pa C02 = 29 mmHg
HC03 = 17 mEq/L
Just looking at the numbers and using your method for Fully Compensation and looking at who is the furthest out of range you would answer Compensated Respiratory Alkalosis since CO2 is 6 out of range and HCO3 is 5 out of range, yet the answer given is Compensated Metabolic Acidosis .....???
I think it will depend on the laboratory ref. range of "normal"... which varies from place to place
Bless.
Does uncompensated mean the same as partially compensated ?
No. Uncompensated is when there is no help from the value that is not causing the issue. The acid would be out of wack, and either the CO2 or the HCO3 would have out of wack, and the remaining would be normal. That is uncompensated.
God bless u real good
Can barely hear you, it sounds very far away.
What's your email address
+sheena M GetSometootRN@gmail.com