Respiratory Therapy - ABG Interpretation: Mixed Alkalosis vs Mixed Acidosis

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  • เผยแพร่เมื่อ 23 พ.ย. 2024

ความคิดเห็น • 64

  • @shaydelre1898
    @shaydelre1898 3 ปีที่แล้ว +17

    Nailed it!! So many ABG videos don't address the Mixed problems! I would transfer to your school if you were a teacher in my city. It's unbelievable how much more I understand because of you. THANK YOU, yet again!!!!

    • @RespiratoryCoach
      @RespiratoryCoach  3 ปีที่แล้ว +1

      Maybe I am? 😆🤣 Thanks for watching and commenting!

  • @rimimt9928
    @rimimt9928 ปีที่แล้ว +2

    I'm Algerian
    I'm an ICU resident
    I really appreciate your efforts👌👌👌

  • @nofarelmer6847
    @nofarelmer6847 10 หลายเดือนก่อน +2

    thank you!! nursing student from NY here. This was very helpful for oxygenation/perfusion class!

  • @RicarlyRegis
    @RicarlyRegis 28 วันที่ผ่านมา

    Hello, second year RT student here from Massachusetts. Your videos really helps. Thank you

  • @paigespencer6927
    @paigespencer6927 4 ปีที่แล้ว +2

    I'm in a master's entry RN program in Phoenix, Arizona, and this was GREAT. So clear and practical. Thank you for taking the time to make these.

    • @RespiratoryCoach
      @RespiratoryCoach  4 ปีที่แล้ว

      You are so welcome! Thank you for watching and best wishes in your Master's program!!!

  • @tarikrafiq1846
    @tarikrafiq1846 2 ปีที่แล้ว +1

    Man, do you know you re good explaining these lessens better than school profs

  • @danielezoni1330
    @danielezoni1330 4 ปีที่แล้ว +4

    HelIo, I'm from Itay and I recently started following your channel looking for answer to some question about ventilation.
    I have to say I am very impressed of you effort and the very easy and straightforward expanation. Really a good job.

    • @RespiratoryCoach
      @RespiratoryCoach  4 ปีที่แล้ว +1

      Hi, Daniele. Got your email and responded this morning. Thank you for your kind comment and for watching.

  • @vglong5295
    @vglong5295 3 ปีที่แล้ว

    A light just turned on. Thank you!

  • @rachel1760
    @rachel1760 3 ปีที่แล้ว +1

    I really appreciate your videos. As a brand new baby RT I am still learning along the way and to be honest it’s easy to forget things after boards. I love watching your videos to get refreshers! Thanks so much : )

  • @baileykitchen4365
    @baileykitchen4365 4 ปีที่แล้ว +1

    Hey, thank you so much for your videos. I'm a first year RT student at Napa Valley College. Our instructors are truly first-rate here. But your videos have still made a big difference in my comprehension & my grades!

    • @RespiratoryCoach
      @RespiratoryCoach  3 ปีที่แล้ว

      Love it! Thank you! Trust your instructors and the course of success that they have you on. And thanks for watching!

  • @SonshipRevivalLabour
    @SonshipRevivalLabour ปีที่แล้ว +1

    This is wonderful ❤️❤️👍👍
    You've just cleared the web for me.... thank you so much

  • @MalteseFalcon_89
    @MalteseFalcon_89 4 หลายเดือนก่อน +1

    in class right now to (hopefully) become a Flight Medic, and your videos are amazing and extremely helpful. firefighter from houston fire here.

    • @RespiratoryCoach
      @RespiratoryCoach  4 หลายเดือนก่อน

      @@MalteseFalcon_89 I love it! Thanks for watching and kindly commenting. GO BE GREAT!

  • @FiFAWorldCupQatar-er3yj
    @FiFAWorldCupQatar-er3yj 3 ปีที่แล้ว +1

    wonderful . great teacher explain simply and thats amazing .

  • @paolaestrada6913
    @paolaestrada6913 3 ปีที่แล้ว +1

    You're so helpful, always address all my problems!! thank you for making this channel!!!

  • @jeckellstallworth
    @jeckellstallworth 4 ปีที่แล้ว +2

    Respiratory coach another fantastic video and your lighting was great too. Thank you!

    • @RespiratoryCoach
      @RespiratoryCoach  4 ปีที่แล้ว +1

      Thanks, Jay. Got some new equipment to work with. Appreciate your feedback. Thank you!

  • @tgaskill
    @tgaskill 3 ปีที่แล้ว +1

    Great and concise explanation!

  • @paulbieber7103
    @paulbieber7103 ปีที่แล้ว +1

    Great video. Thank you.

  • @Zeenawarrior_x
    @Zeenawarrior_x 2 ปีที่แล้ว +1

    Hiii! Thanks for this video! I couldn’t understand mixed acidosis and alkalosis but this made it clearer!!

  • @fishingsouls4christceoofgi614
    @fishingsouls4christceoofgi614 3 ปีที่แล้ว

    Your a good man! Much love and respect from Los Angeles California

  • @Suzi_P
    @Suzi_P 4 ปีที่แล้ว +1

    Your lectures have always helped me so much. Thank you!

    • @RespiratoryCoach
      @RespiratoryCoach  4 ปีที่แล้ว

      I'm so glad! Thank you for watching, Suzi!!!

  • @ayachitaher
    @ayachitaher 4 ปีที่แล้ว +2

    Great video coach liked the scrubs if I may have a little suggestion before finishing this ABG series it would be nice to have a quiz session with practical problems the same way you did with the asthmatic patient in the previous video you're doing a great job keep it up

    • @RespiratoryCoach
      @RespiratoryCoach  4 ปีที่แล้ว +2

      Hey man, thanks for the feedback. I'll throw up a all inclusive ABG quiz to cap off the ABG series. Great suggestion. Thanks for watching and contributing my man.

  • @joshuacastruita8052
    @joshuacastruita8052 2 ปีที่แล้ว +1

    So good bro!!! Gracias!

    • @RespiratoryCoach
      @RespiratoryCoach  2 ปีที่แล้ว +1

      Thanks, Joshua! I appreciate you watching and commenting!

  • @amyacquavella-geddes3250
    @amyacquavella-geddes3250 4 ปีที่แล้ว +1

    Can you please make a video on the intro to A lines the equipment involved and how we draw and do ABGs from them, including intro info on the wave forms & balloon pumps, please & thanks 🙏 ?

  • @applelee1378
    @applelee1378 4 ปีที่แล้ว +5

    I wish you were my professor.

    • @RespiratoryCoach
      @RespiratoryCoach  4 ปีที่แล้ว

      I wish you were my student! Thanks for watching.

  • @adzcastiri7911
    @adzcastiri7911 4 ปีที่แล้ว +1

    Precisely Coach...i like it.Hoping you can explain about the autoflow on the mechanical ventilator. God bless.

    • @RespiratoryCoach
      @RespiratoryCoach  4 ปีที่แล้ว +1

      Thanks, Adz. Autoflow (not bias flow) is a feature on most mechanical ventilators that allows the vent to adjust insp flow to match that of the patient. For example, you have set a flow of 40 lpm, but your patient is inspiring at a flow of 70 lpm. This will undeniably result in flow hunger and p-v asynchrony. With autoflow, the vent will recognize this desire for additional flow and attempt to match that to improve p-v synchrony and patient comfort. Does that make sense? Thanks for watching and posting this question.

    • @adzcastiri7911
      @adzcastiri7911 4 ปีที่แล้ว

      @@RespiratoryCoach thanks a lot coach i do appreciate your time and effort more power to your channel and God bless 🙏

  • @xinminang291
    @xinminang291 4 ปีที่แล้ว

    Thanks for the explanation! I’m from Singapore!

  • @shahedelnadjar3144
    @shahedelnadjar3144 3 ปีที่แล้ว +1

    Fantastic video

  • @katiuskamallarino5260
    @katiuskamallarino5260 4 ปีที่แล้ว +1

    Love the videos, thank you so much!

  • @rishatgazezov9032
    @rishatgazezov9032 2 ปีที่แล้ว +2

    But what if you have metabolic acidosis where actual pCO2 < pCO2 predicted with Winter’s formula? Is that metabolic acidosis with concomitant respiratory alkalosis?

    • @RespiratoryCoach
      @RespiratoryCoach  2 ปีที่แล้ว

      I follow what you're saying, but don't overthink it. A patient presenting with a metabolic acidosis and a low CO2 is hyperventilating to compensate for the metabolic acidosis. Don't let the vernacular distort your decision making.

  • @roxyali9815
    @roxyali9815 11 หลายเดือนก่อน +1

    Can u plz make avideo about dynamic bilevel mode?

  • @sniriangksiarlaloo
    @sniriangksiarlaloo ปีที่แล้ว

    Hy hello can you please tell me why in some cases shown in ABG report only show PCO2 value only the rest does not appear

  • @mistraleyonpamnacteta9275
    @mistraleyonpamnacteta9275 4 ปีที่แล้ว

    Hello coach, can you also teach about Vent initiation, setting and weaning. I know that is big topic but please

  • @domenicafigueroa9230
    @domenicafigueroa9230 3 ปีที่แล้ว

    Thank you, kind Sir!

    • @RespiratoryCoach
      @RespiratoryCoach  3 ปีที่แล้ว

      You're very welcome!!! Thank you for watching!

  • @tabithaphiri9297
    @tabithaphiri9297 2 ปีที่แล้ว

    well explained

  • @ishanmewara44
    @ishanmewara44 4 ปีที่แล้ว +1

    Nice lecture

    • @RespiratoryCoach
      @RespiratoryCoach  4 ปีที่แล้ว

      Thank you, Ishan. I appreciate you watching!

  • @animeshdebbarma3852
    @animeshdebbarma3852 ปีที่แล้ว +1

    From India sir😊

    • @RespiratoryCoach
      @RespiratoryCoach  ปีที่แล้ว

      Hi! Thank you for watching and commenting from India!

  • @haleyemerson7179
    @haleyemerson7179 ปีที่แล้ว

    Don’t they usually give bicarb during code blues? New grad RN here… not really been in too many codes but I’ve seen a bunch where we’ve given bicarb, so would the bicarb still be low? Just given your scenario where you ask them what the abgs would look like after a code blue… sorry if that’s a stupid question

    • @haleyemerson7179
      @haleyemerson7179 ปีที่แล้ว

      Im also here to learn… I didn’t mean that in a snarky way. I came to learn about ABGs bc I am a new grad in ICU… I appreciate your video! It was super helpful

    • @steves8860
      @steves8860 ปีที่แล้ว +1

      Years ago, it was very common.
      But if you give bicarbonate to correct a respiratory acidosis, and then the patient starts ventilating well, then you are going to end up in a metabolic alkalosis.

    • @steves8860
      @steves8860 ปีที่แล้ว +1

      Your lactic acidosis will also start getting better as they ventilate and perfuse better, and then you will have too much bicarbonate

    • @steves8860
      @steves8860 ปีที่แล้ว

      ​@@haleyemerson7179
      Your question got me thinking.
      Thought you might like this
      en.m.wikipedia.org/wiki/Intravenous_sodium_bicarbonate

  • @russulal-dhuhaibat9135
    @russulal-dhuhaibat9135 ปีที่แล้ว

    Thank you 🌹

  • @shunnie3777
    @shunnie3777 3 หลายเดือนก่อน

    ❤❤❤

  • @aalassadi3844
    @aalassadi3844 3 วันที่ผ่านมา

    Good explanation. Thank you