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Excellent content madam ! i have one query please.. in this strip why are we thinking that p wave is merged with or hidden behind QRS complex , why we should not think that p might be merged with T wave. or in other words how to differentiate whether p is behind QRS or merged with T wave. Best regards and thanks for educating 😊🙏

Best sir 🎉, cudos to you for tremendous job helping young doctor to grow and learn holding your hand

Sir I am an MBBS student and want to pursue critical care. I have around 7 years experience with decent theoretical knowledge and extremem interest in critical care but there's no hospital which is providing . How to get into fcccm . Please guide. U will find I am an excellent learner . Have fallen in love since watching your ABG videos

V nice sir

It's really excellent sir Awsome.. got to learn a lot sir

It's awsome. Explained in so simple manner.. Thanks a lot sir..

Thankyou sir !

Madam please continue to upload such content🙏

Why didn't you correct potassium for ph like u teach us sir ?

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Informative.... thank you...

sir AG ph correction is new to me .please elaborate delta ratio or delta AG WHICH ONE TO FOLLOW

great series sir...one of the difficlt topics god bless u

ABG 1: as per H-H equation, H+ comes out to be 18.9≈19. For a pH of 7.58, the H+ should be 26.. Which means abg is invalid.. Isn't it sir?? Am I wrong?

Those 3 videos are not hidden

Timestamp 13:31. Another concept I would like to clarify. For a fall of HCO3 to 16, pco2 compensation is to 30(28-32). After compensation the pH (hypothetically) would be 7.4.. Now in D) if pt developed respiratory acidosis. PaCO2 increased from 30 to 60. Estimated drop in pH =0.24. Expected pH = 7.4-0.24=7.16 isn't it sir? Because if we're considering PaCO2 of 30 the pH would've been 7.4(after adequate compensation) then the pH fell due to development of respiratory acidosis. Nonetheless, a very very good abg. & I certainly enjoyed the discussion!

Timestamp 13:01. How to calculate expected pH for drop in HCO3? In the given illustration 0.15 drop in pH for a fall of HCO3 by 8. Any formula for this sir?

Really extremely useful video

India always had Great Teachers . The ramifications are wide & far ,Dr. PK JAIN. The step- by -step breakdown, Mathematical approach, Simplifies the complex, Better understanding And retention. The amazing "Sherlock Holmes" Dr.Meera Mehta with her Mastery has taken away the fear of ECGs Dr Ankur Gupta's foresight & passion. A Great & Valuable Outreach. THANK YOU.

WOW!!!

Rta 4 yes will cause hyperkalemia but severe diarrhoea will cause hypokalemia so mat show as normal potassium in this case...

How to treat this disorder sir

Thank you sir

Thank you sir for explaining. It means a lot. You are taking time from your busy schedule to teach us. Thank you again for passing your expertise and knowledge among us.

*You are doing wounderful job Dr Praveen Jain sir, Dr Meeta Mehta & team, keeping it open for the medical professionals...But I have also my views on these ABGs.* *ABG 1* *As it is Mixed Alkalosis Resp+ Metabolic, pH is high but not high enough consisting with underlying values of PaCO2 & Bicarbonate* *Only PaCO2 will take pH to 7.52 considering it is acute.Metabolic Alkalosis will take it further high to almost 7.70. To confirm this calculate H+ which is 19.9 which corresponds to pH of 7.70.* *Regarding Oxygenation : Pa02 is 184 & it's hyperoxemia with underlying lung disease. But one should have liberty to tell that although there is hyperoxemia patient would be severely hypoxemic at room air.* *ABG 2* *While calculating expected PaCO2 in Metabolic Acidosis you have little wider range which may sometime miss mixed Acid-Base disorder.Winter's formula can be used to calculate expected PaCO2, Another very easy formula for expected PaCO2 in Metabolic acidosis is Last 2 digits of pH.* *ABG 3* *Modarate Chronic kidney diaease (CKD 3) usually causes NAGMA or Hyperchloremic Metabolic acidosis which eventually get converted to HAGMA.(CKD IV & V)* *ABG 4* *Regarding Respiratory compensation for Metabolic Alkalosis just add 15 to HCO3 or rise of Paco2 is 0.7 per 1 rise in Bicarbonate. So in this case expected PaCO2 is 36+15= 51 which is higher than 45 suggesting underlying possible Primary Respiratory Alkalosis. (Clinical correlation).* *Thanks for the wonderful session onABG.* 👍

Simply beautiful teaching

*Ty.....Sir Hypokalemia due to extra renal cause means GI loss which will occur only if patient has diarrhoea .So probably it's multifactorial like Renal loss (Remote), Transcellular shift, Alkalosis itself as every 0.1 decrese in PH K+ decreases by 0.5 mEq/L & poor intake. What do you say sir??*

*Sir in Metabolic Acidosis to calculate, expected PaC02, use of Winters formula is easy n faster..What do u say?*

*Ty..UAG would have been helpful.*

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Thank you sir 🙏

Thank you sir 🙏

Thank you sir 🙏

I guess, The serum electrolytes mentioned are from the serum values and not from the ABG strip. Serum values take time to be reported. For the ABG analysis do we rely on the strip reported values for electrolytes. Sir, Please elaborate. Thank you .

Very informative ABG discussion sir

May Allah grant you long life with best health. You are training us upto optimise level Dr Faiz Intensivist Internal medicine consultant Pakistan

Can you please upload video of Sherlock home approach in detail by dr Jain ?

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Very good lecture, thank you! Have you included dynamic compliance in the lung recruitment maneuver to find optimal peep? You find it on Dräger anesthesia machines.

Thank you for putting this discussion here

Thank you sir

Excellent presentation

Nica case . Thank you sir

Thank you sir❤

I am resident in critical care medicine. Kindly guide me about how to learn ABGs.

Wry nice presentation I start abgs in futur sir

Sir your knowledge and teaching method increase in my practical knowledge, sir

Sir brilliant presentation and topic