ABG of the Week Case 2

ABG of the Week Case 2: A 76 years diabetic & hypertensive female with recent anterior wall myocardial infarction and severe LV dysfunction, presented with worsening shortness of breath. An ABG is done. Interpret this ABG.

[@drbhagyesh]

ABG was never easy , before I learned from the great teacher like you... thanks

[@Anjali-fp2hx]

Very informative. Knowledge is refreshed .
Thank you sir!

[@sajidmukaddam5300]

Thanks a lot Sir. Blessed to have a teacher like you and Meeta madam, who make the learning so simple and excellent. 🙏🏻

[@LearningCriticalCarewithCCEF]

Thanks sajid

[@keerthiagarwal8262]

Very nice sir
Thank you sir ..it was like revising crash course class 🙏

[@faizdr1723]

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

[@dattatrayjunnarkar172]

Really extremely useful video

[@lakshmanct1]

Very well explained in simple terms, great work 🙏

[@sudharavi672]

Thank you so much Sir.Very Good Lecture and blessed to listen to your lectures .Hoping to learn mire n more.

[@alpanaroy6766]

Old days memories....
Thnk u sir

[@meetamehta421]

An eye opener👍👍

[@venkat.a2801]

Thank you sir for the excellent and detailed explanation on how to approach the ABG in a systematic manner...

[@jnanamaninanaiah742]

Blessed to have you as Teacher SIR,💐🙏

[@drvickybaxi4044]

So happy to learn again and again....by my idols...jst close the eyes and it feels like m attending live lecture...🙏🙏🙏

[@LearningCriticalCarewithCCEF]

Thanks vivek

[@khudabakshshaikh8558]

Both cases are very good sir and I liked

[@ankitjain4239]

Provides clarity of thought. Especially useful before my EDIC Part 2 Exam!

[@swapnilrudrakar4654]

It's a excellent session sir , it's always been a academic feast to learn ABG from u

[@LearningCriticalCarewithCCEF]

Thanks swapnil

[@harcharankaur1093]

Wonderfully explained

[@LearningCriticalCarewithCCEF]

Thanks Harcharan

[@muzafarshigan1219]

Thank you sir.

[@drsachin640]

Waiting daily for your video sir

[@drguruprasadn]

Good evening Sir! I felt like revisiting our orientation and crash courses. Your lectures are unforgettable. Will wait every week for new cases. Thank you Sir🙏

[@alpeshrupareliya552]

Thank you sir 🙏☺

[@nehamittal4934]

Fantastic Revision sir

[@LearningCriticalCarewithCCEF]

Thanks neha

[@mukteshsingh6519]

Thanku so much sir for amazing explanation

[@noorahmedi2961]

Good Evening sir , The Session was really helpful and very informative. We would like to have more session which will help us gain more knowledge

[@LearningCriticalCarewithCCEF]

Thanks Noor

[@khudabakshshaikh8558]

Second question sir what about k corrected in abg case 2

[@Ride2Hell1]

thank u so much sir

[@taayebg844]

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

[@beenagindodia4995]

Thank you so much sir n mam to reignite the learning process
So beautifully reexplained steps to read abg and it's clinical application
Thanks thanks a lot

[@LearningCriticalCarewithCCEF]

Thanks beena

[@nitinjain2089]

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

[@dr.alaukikgoyal3828]

Sir,
If the paco2 for this particular patient is high.. considering the respiratory fatigue setting in... Can we still call the ventilation of this patient to be normal?

[@Critical-Care-Online]

That is an excellent question and observation. This patient with severe acidemia should be tachypnoeic. Here, his ventilation is less than expected but technically ventilation is normal. Issue is that as a clinician we must decide by clinical correlation. Ventilation here is normal but inappropriate.

[@dr.alaukikgoyal3828]

@@Critical-Care-Online thank you sir :)

[@dr.sheikhicu]

Ty so much sir for amazing session, very informative, clear and simple, i have a question sir how do we decide ph correction value, thnx

[@LearningCriticalCarewithCCEF]

Thank you. For acidemia subtract 2 from anion gap. For alkalemia add 4.

[@khudabakshshaikh8558]

Sir two more questions one po2 is 159on fio2 40% If we do 4times ten po2 is normal sir we mtiply every time by 5times

[@ramaserigayathri9513]

Sir, how long standing diabetes mellitus can cause NAGMA ?

[@LearningCriticalCarewithCCEF]

It is very common in diabetes mellitus of long standing to have NAGMA due to development of Renal tubular acidosis type 4. Look up on any medical book related to this topic or google the 2 terms.

[@ramaserigayathri9513]

@@LearningCriticalCarewithCCEF thank you sir

[@ramaserigayathri9513]

Sir how can long standing dam cause nagma

[@LearningCriticalCarewithCCEF]

NAGMA in Diabetics is very often due to TYPE 4 Renal tubular acidosis (RTA-4)

[@TheICUChannel]

No one can teach ABG better than you sir.... blessed. One question sir, for lactate correction of bicarb, it should be taken in mmol or mg ? and how to adjust bicarb if lactate taken in mg?

[@Critical-Care-Online]

Good question from a great intensivist. Honestly, I will need to check literature and get back on the unit issue.

[@jnanamaninanaiah742]

Blessed to have you as our Teacher SIR,🙏

[@Critical-Care-Online]

Thank you

[@defactotion]

Thank you sir