Blood Gases Part III - Tala Talks NICU
ฝัง
- เผยแพร่เมื่อ 8 พ.ค. 2021
- PUT YOUR KNOWLEDGE TOGETHER! Third and final video in this series on blood gases. We build more on part I and part II- so that after you watch this video, you'll feel confident in interpreting gases.
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*Timestamps*
01:09 - 2 ways blood gases can be acidotic
06:02 - 2 ways blood gases can be alkalotic
10:44 - Compensation concepts in blood gases
12:39 - Example blood gases (primary vs. compensatory)
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Dr. Tala is a board-certified neonatologist, and has worked in busy level III and IV units for the past 15 years. She has won multiple teaching awards throughout her time as a neonatologist.
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Music: www.bensound.com (royalty free with credit)
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*Disclaimer*: This video is intended for educational purposes only and while
we strive to give the most accurate information, errors may occur. Subsequently,
this video should not be a replacement for medical advice.
Another excellent video 👏🏻👏🏻👏🏻 thank you
Thanks so much Havva- we are so happy you are still watching!
You make everything so easy to understand.. thank you for all your videos!!
Thank you for such a lovely comment! That’s exactly what we set out to do so it’s so great to hear that some of it - is working!!! Thank you so much!!!
Hello Dr. Tala. Can you please make a video regarding abnormal blood gas results and which settings in the ventilator needs to be changed? Thank you☺️😊
Hello! This was flagged as spam so we're just seeing it now! Sorry! Yes- we have already filmed a couple of abnormal gas videos and how to fix them. We were all getting a little bored with the gas videos though- so we wanted to shift topics for a bit. We'll definitely get back to them though! Thank you for commenting :)
Thanks. You are making complex issues so simple!
That makes us so happy to read! Thank you!
These videos are so helpful for peds interns going into the NICU for the first time. Thank you for your time and effort! Please keep the videos coming :)
Thank you so much Dr. Farah! So happy that these can be helpful- hopefully you'll really enjoy your NICU rotations too! (Slowly grew with me- on my first month it felt like a different world from rest of medicine, and then with every call night, I grew to love it more and more!) Thanks again for being here :)
@@TalaTalksNICU the learning curve is real lol … new world, new language! But I am loving it. Thanks again!
maybe this is your field then??!!
Thank you Tala I just love your videos. You are amaaaazing❤️
You're so sweet! Thank you so much for your loyalty and encouragement!
Excellent Tala 👍
THANK YOU!
Hello Dr talla I am Amina from Algeria very helpful videos. Keep up the good work 💪❤
Hi Amina! Merci! very happy you are here :)
I love your explanation
Thanks so much for watching and commenting!
Thank you very much.
Thank you for watching Yocef, and for subscribing :)
Amazing
Thanks again Liuba- you have no idea how motivating your comments are!
Hi, Dr. Tala! Been waiting for you to post another video lecture! 😅 wouldnt get tired of telling you that I am an avid fan of yours! 🤗 anyway, I have a question if you don’t mind. What formula do you use in determining the primary disorder in cases like mixed respiratory and metabolic acidosis/alkalosis? Thanks! 🥰
Hi Dr. Licup! So glad you're still here!
The most important thing to realize is that the body will not over-compensate for an issue. So the first thing you look at is the pH. Is it acidotic or alkalotic? If it is acidotic - then the primary issue must be one causing acidosis- whether that be respiratory or metabolic.
Does that make sense? Thanks as always, for watching and commenting!
Very nice explanation. Very good video
We're so glad you watched it and appreciated it. Thank you!
Well explained
Thank you Sumathy! You are such a great cheer-leader! We love that you are watching these videos :)
Excellent video mam
Thanks so much Santhosh- we really appreciate your watching and your lovely comment!
just wached prt1 nd 2 now its 3rd... great...#nainann
Great! Than you so much Naina NN!
Dear Dr.Tala I have seen all of your videos.
Excellent lectures.would you please upload video on NEC, Pulmonary haemorrhage, Fetal assessment.
Hello Afreen! Thanks so much!!!! We are getting around to NEC! We didn't have pulmonary hemorrhage- although we will add that to the list! An excellent suggestion! And by fetal assessment you mean BPP, decals and stuff? Thanks so much for watching!!!!
Thanks that was super helpful and helped me understand compensation more. If the PH was in a normal range but the C02 was high and the bicarb was high, that there is compensated resp acidosis? Lets say the the PH was in a normal range and the C02 was high but the bicarb was low - is that compensated mixed? I'd love to see examples like that.
Hi Vickie! So glad you're still here :)
So you look at the pH- and if it's low the primary disease is an acidosis.
If the pH is high the primary disease is the alkalosis.
In the case you described- the pH was normal and the infant had both respiratory acidosis and a high bicarb you'd have to go with the clinical picture. Is this a kid with long standing BPD or is it a kid with good lungs who's been on lasix for a long time?
For your second exam[ple- if the C02 was high (causing a low pH) and the bicarb was low (also causing a low pH) then this would indeed be a mixed acidosis- but we would expect a low pH.
We are planning to run a few videos on examples like this. (We just wanted a short break from gases! ha!)
Thanks again!
👌👏
Thank you :)
Excellent lecture doctor. Where is community tab?
Hi Prasad! again sorry this is a couple of days late. I think you have to be on a computer or have the app on your phone for the community tab to show up? But it is one of the tabs on the home channel. Were you able to find it?