Acid Base Arterial Blood Gas (ABG) Interpretation Made Easy w/ Tic-Tac-Toe! Quick & EZ [Episode 13]

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Acid Base Arterial Blood Gas (ABG) Interpretation Made Easy w/ Tic-Tac-Toe! Quick & EZ [Episode 13]

Рет қаралды 145,717

Күн бұрын

Acid base arterial blood gas interpretation and analysis made easy using this tic-tac-toe method! Never struggle with blood gases again!
Arterial blood gases or ABGs can be used for the interpretation of acid base status, and analysis of pH, bicarbonate, and CO2 levels. Nursing and medical professionals can use the tic-tac-toe method when first learning ABGs to interpret if it is respiratory acidosis, respiratory alkalosis, metabolic acidosis, metabolic alkalosis, or a mix. The method also helps determine if it is compensated or uncompensated!
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Пікірлер: 138

@ezmed 3 жыл бұрын

🔸Lecture: www.ezmedlearning.com/blog/bloodgases 🔸Study Guide: www.ezmedlearning.com/store 🔸Membership: www.ezmedlearning.com/member-area-study-guides 🔸Tutoring: www.ezmedlearning.com/medical-tutoring-services-online

@augustcookie7670 2 жыл бұрын

Wow. He explained in 3 minutes what my teacher took nearly 2 hours to explain. Thankyou!

@ezmed 2 жыл бұрын

Haha no problem! That's what this channel is designed to do, simplify it straight to the point! Good luck with your class! 😊

@mobifoluwamotunrayo562 Жыл бұрын

Hahaha! Sometimes I wonder if it’s intentional or they just don’t know it themselves😅😅😅😅 . It’s crazy how someone moves in circle for what you could have pointed out straight😅

@donaldkite5004 11 ай бұрын

I have a physiology exam in 1h30 and the systems we being tested on are Renal and CNS, you just saved me a subchapter of studying. Thank you.

@eldalote147 2 жыл бұрын

This is a life saving video!! For paitents and also students like me😬

@ezmed 2 жыл бұрын

Great to hear, and good luck with your studies!

@sujathalakshmi4290 2 ай бұрын

Thank you so much sir❤ 4:40

@shellyrea2601 9 ай бұрын

Thank you for always helping me understand the difficult topics for my nursing degree!

@curtpiazza1688 2 жыл бұрын

Wow! I'm not even a nursing student but I clearly understood your concise clear presentation!

@ezmed Жыл бұрын

That's awesome! Glad it was easy to understand! 👏

@jkklaptop001 Ай бұрын

Very good explanation

@overworkedcna412 2 жыл бұрын

This is great. Only recommendation would be to show how to distinguish between partial and full compensation. Other than that, it's an awesome method.

@ezmed Жыл бұрын

Glad you liked the method! 🙌 See the comment below on partial and full compensation. This will also be discussed in a separate video since the tic-tac-toe method is designed to quickly determine the general acid-base status. Keep an eye out for it! 👍

@amarmata1 Жыл бұрын

@@ezmed where is the video for compensation? I don't see it

@rhiannonblue5783 2 жыл бұрын

This was so perfectly explained, I subscribed after just watching this one video! THANK YOU!!

@ezmed 2 жыл бұрын

Great to hear, thanks for the sub 👍

@AmberU 2 жыл бұрын

This was good by far the best way of learning this topic i have found.

@ezmed Жыл бұрын

Nice! Glad you liked this method! 👍

@cobby-sama7969 Жыл бұрын

The greatest video of all time🔥

@ummintisar 2 жыл бұрын

Yesssss!It really just made it easier.I hope my exam tomorrow is filled with ABGs In sha Allah!

@ezmed 2 жыл бұрын

Good luck on your exam! 🙏🏻

@duck3209 2 жыл бұрын

best one i have seen so far

@ezmed Жыл бұрын

Awesome! Appreciate that 🙏🏻

@michelleuwakwe4709 Жыл бұрын

Wow!! Thank you for making this so easy to understand. My lecturers needs to learn from you

@ezmed Жыл бұрын

Haha glad the video could be a could supplement to your lectures! Good luck to you! 🙏🏻

@sachinsudhi9690 2 ай бұрын

Thankyou 😊

@aisuklangkharsohtun2395 7 ай бұрын

Thank u so much ....

@msdeshabangbang Жыл бұрын

You made this sooo easy, thank you so much

@ezmed Жыл бұрын

Really happy to hear that! 😊 Making it easy was the goal, glad it delivered!

@beentube196 Жыл бұрын

Thanks

@zahraanoor7187 Жыл бұрын

WOW!!! THX

@ezmed Жыл бұрын

Happy to help! 😊

@Relax_TouchGrass 5 ай бұрын

This is amazing. You have no idea how much time you saved me

@simonedurham3934 4 ай бұрын

i love this im going to try

@janeybear852 Жыл бұрын

Hello! I figured that if one of them falls under normal category, it turns out to be partially compensated, if one is in acid or base and two of them are in acid or base too, then it is fully compensated! You can test it out just to sure, toodles!

@sahibmirza 2 жыл бұрын

You made it sound so easy. Thank you

@ezmed 2 жыл бұрын

You’re welcome 👍

@FuldisiaButt Жыл бұрын

Good work

@ezmed Жыл бұрын

Thanks! 🔥

@leah8613 3 жыл бұрын

This is absolutely genius, thank you so much!

@ezmed 3 жыл бұрын

No problem!

@debigdogk9563 2 жыл бұрын

Thank God I found you. Thank you thank you thank you AND THANK YOU 🙏

@ezmed Жыл бұрын

Haha appreciate that! Enjoy the channel! 🙌

@nehal8163 2 жыл бұрын

U saved my life. Thank you!

@ezmed Жыл бұрын

Memory tricks can definitely be lifesaving! Glad you liked it! 👏

@drankurbaruah 2 жыл бұрын

BOOM! Understood. Awesome video!!!

@ezmed Жыл бұрын

Yay! Mission accomplished! Thanks for dropping a comment and watching! 👏

@Mrjackye19 Жыл бұрын

Gonna use this for my NCLEX. Thanks!

@ezmed Жыл бұрын

Awesome! 👏 Good luck on the NCLEX!! You got this! 💪

@harshanilanka7779 Жыл бұрын

Wow how easy.thank u sooo much

@ezmed Жыл бұрын

You bet! 💯 Glad this helped simplify it! 🙌

@doctorfaheemkhanbalouch6322 Жыл бұрын

Very easy.

@ezmed Жыл бұрын

Great! 👍

@jenngzz11 Жыл бұрын

Thank you 😊

@macreflex1 Жыл бұрын

Thank you

@aljabr1465 2 жыл бұрын

Super easy, super useful 👍

@ezmed Жыл бұрын

Great to hear! 👏

@Ahmedmostafa-ox4jw 2 жыл бұрын

ABG interpretation is always a pain in the ass,I guess it WAS now, thanks for helping

@ezmed 2 жыл бұрын

Glad the trick helped change the “is” to a “was” 😂 Good luck to you!

@jenniferjohnson1204 6 ай бұрын

Amazing!

@nikireddy5024 Жыл бұрын

Thankyou so much u made it so easy 😇

@ezmed Жыл бұрын

Awesome! 🙌 That's the goal of the channel! Glad you found it useful! 👏

@krystallove1880 2 жыл бұрын

great method , good job

@ezmed Жыл бұрын

Happy to hear you liked the method! Good luck to you! 🙏🏻

@drushayadav 3 жыл бұрын

Excellent and yet easy way

@ezmed Жыл бұрын

Mission accomplished! 🙌 Keeping it easy is the goal! And thank you for subbing to the channel! 🙏🏻

@karimkhan7221 2 жыл бұрын

you are a genius bro😘😘

@ezmed Жыл бұрын

Appreciate that. 🙏🏻 Thanks for dropping a comment and watching!

@celineg402 Жыл бұрын

this is genius

@ezmed Жыл бұрын

Happy to hear it helped you out! 👌

@jondrea97 Жыл бұрын

Thank you!

@ezmed Жыл бұрын

No problem! 👍

@emmanuelmwaba4909 2 жыл бұрын

Very helpful indeed. God bless you

@ezmed Жыл бұрын

Thank you! Glad to hear it was helpful! 🙏🏻

@SwarnanjaliPradhan 3 жыл бұрын

What if the three parameters each fall in one column? How do i interpret it?

@ezmed 3 жыл бұрын

Great question! If all 3 parameters fall under one column, then you should suspect a mixed (combined) acid-base disorder. For example if pH, pCO2, and HCO3 all fall under the acid column, then it will be a mixed respiratory and metabolic acidosis. If the pH, pCO2, and HCO3 all fall under the base column, then it will be a mixed respiratory and metabolic alkalosis. Hope that helps!

@Locgirl326 2 жыл бұрын

@@ezmed ph is normal PaCo2 is acidic and Hco3 is base its all across in each column ?

@ginaabelada4263 Жыл бұрын

What about the compensation sir,?

@MrHuofeng Жыл бұрын

Easily explained...thnx

@ezmed Жыл бұрын

No problem! 👏

@kwame9212 Жыл бұрын

You just saved me.

@ezmed Жыл бұрын

Haha memory tricks can be game changers! 💪

@kalasrikumar8331 2 жыл бұрын

How you can balance those things ? No one says about the treatment…. Pl tell 🙏👍

@stephanieprescott3530 9 ай бұрын

What if ph is 7.32 and both pco2 and HCO3 are normal?

@matapangnakristiyano Жыл бұрын

Isnt partially compensated instead fully compensated. Fully compensated is when PH is in normal range?

@TheeNatashaD 3 жыл бұрын

Very helpful!

@ezmed Жыл бұрын

Great! 👏

@mansirana8370 2 жыл бұрын

Thanku it's really helpful

@ezmed Жыл бұрын

Great! Thanks for watching! 👏

@menkemzita912 2 жыл бұрын

Wow. I wish I found this video since . It's so simple and understanding I now understand everything. Thank you so much

@ezmed Жыл бұрын

That's great! 🙌 Glad you now understand it!

@tanutripathi6390 Жыл бұрын

Awesome video...God bless

@ezmed Жыл бұрын

Thanks for watching and glad you found it helpful! 👏

@radhikaradhi6772 3 жыл бұрын

Good !easy to remember !

@ezmed 3 жыл бұрын

Great! Glad it helped, and thanks for watching!

@leahvilleroz2663 2 жыл бұрын

wheres the compensation vid??? :

@tahsinazmi57 2 жыл бұрын

wooooww..thanks for this video....

@ezmed 2 жыл бұрын

No problem 🙏🏻

@jagadul Жыл бұрын

How if the pH is 7.4, pCO2 is 50, and HCO3 is 32. The tictactoe method didnt work

@sumayafaez5353 2 жыл бұрын

good luck 👍🏻👍🏻👍🏻

@andyspark5192 Жыл бұрын

What is the outcome of ABG in long C0VlD patients?

@nathandelrio7558 Жыл бұрын

Okay so say bicarbonate and co2 were both under base but your ph is under 7.35, what would that mean?

@macalanmayenaccel304 2 жыл бұрын

How do you determine if it’s partial or full compensation?

@ezmed 2 жыл бұрын

Thanks for the question! The tic-tac-toe method simply tells you whether there is compensation present or not. It does not specifically tell you whether it is partially or fully compensated. There are compensation equations online that can be used to determine whether the ABG is fully or partially compensated. However, if you have determined compensation is present using the tic-tac-toe method, then generally speaking if the pH is near normal range then it is likely fully compensated (the pH does not have to be completely normal to be fully compensated). If the pH remains significantly abnormal, then there is likely partial compensation present. Hope this helps!

@honeyannjacob6753 3 жыл бұрын

Great great I love it

@ezmed Жыл бұрын

Perfect! 🙌 Glad you liked it!

@huzaifahuzaifa6606 10 ай бұрын

Where is PO2?😢

@amandasmith9343 Жыл бұрын

In your 2nd example, the paCO2=65.... so wouldn't that be a base and not an acid? The normal range for paCO2 is 35-45. So there would be no compensation?

@ezmed Жыл бұрын

Thanks for the comment! Remember CO2 is an acid, so when paCO2 is high then it goes under the acid column. When paCO2 is low, then it goes under the base column. You can check out the lecture linked above if you need more help. Hope that clarified things! 🙏🏻

@najwashairahmatsaad5498 2 жыл бұрын

How do i interpret when there is pO2?

@ezmed 2 жыл бұрын

Thanks for the question! The PaO2 provides information about the oxygenation status of the blood. It is not directly used when interpreting the acid-base status. An easy way to think about an ABG is it provides 2 main pieces of information. 1. It tells you the oxygenation status of the blood (PaO2, O2sat). 2. It tells you the acid-base balance of the blood (pH, PaCO2, HCO3). If you have any follow up questions, ask away! Hope that helps!

@goldstarhospital Жыл бұрын

made easy

@nabeela6467 Жыл бұрын

Are there practice questions you have for this topic?

@ezmed Жыл бұрын

Not yet but is something that will be offered in the future! 👍 And thank you for being a subscriber to the channel! 🙏🏻

@YedidyaDear-Yachnes 3 жыл бұрын

what about partial compensation?

@ezmed 3 жыл бұрын

Great question! The tic-tac-toe method simply tells you whether there is compensation present or not. It does not specifically tell you whether it is partially or fully compensated. There are compensation equations online that can be used to determine whether the ABG is fully or partially compensated. However, if you have determined compensation is present using the tic-tac-toe method, then generally speaking if the pH is near normal range then it is likely fully compensated (the pH does not have to be completely normal to be fully compensated). If the pH remains significantly abnormal, then there is likely partial compensation present. Hope this helps!

@rohacassie1339 Жыл бұрын

What of a case where they are all low the CO2 and the HCO3 Whose causing the problem?

@tinatubman7986 2 жыл бұрын

I’m super confused now, I was on track then you lost me somewhere in the end.. Example: pH 7.45, CO2 30, HC03 22 What would this be?

@tinatubman7986 2 жыл бұрын

You also said it should never be diagonal but my answer was diagonal

@ashleyhutchinson8358 2 жыл бұрын

I think it would be respiratory acidosis the ph is within range and so is the bicarb so it’s no metabolic

@yousafkhan3893 2 жыл бұрын

pH is within normal range so no acid/base disturbance, meaning no acidosis or alkalosis is present. And regarding 3 items lining up diagonally, what he means is that when interpreting an ABG using this method, only circle the 3 items that line up vertically. So in your example, pH and and HCO3 line up under normal so that means the pH of the blood is normal.

@nathandelrio7558 Жыл бұрын

@@yousafkhan3893 since co2 is respiratory that would be the main problem, but since ph is still neutral that means your blood is within its parameters so that’s not a problem, it’s base because the bicarbonate compensated. So it would be compensated respiratory acidosis. It’s only because the bicarbonate was able to help just enough to stop the blood from being acidic

@x0-x0 Жыл бұрын

This abg showed acute respiratory alkalosis with metabolic compensation

@NaturalNiche23 Жыл бұрын

❤❤❤

@parampatel6555 Жыл бұрын

What if pH is 7.26, PaCO2 is 52, and HCO3 is 30? This puts two items under the base category.

@ezmed Жыл бұрын

That would only put one item under the base column (HCO3). A pH of 7.26 is under the acid column. A PaCO2 of 52 is under the acid column (remember CO2 is an acid). And a HCO3 of 30 is under the base column. The example you just described would be respiratory acidosis with metabolic compensation. Hope that helps! 🙏🏻

@user-fy7ri8gu8l 2 жыл бұрын

Eh... This is misleading it doesn't tell you the full compensations etc.

@priyajulie4027 Жыл бұрын

Super uh😂❤

@banhishikhabhadra2898 22 күн бұрын

U're God!

@MsNursetonya Жыл бұрын

U r going so fast

@ezmed Жыл бұрын

The quality, speed and delivery of videos has since improved! Hope you still found the video useful! 🙏🏻 You can also change the playback speed to slower too if that helps! 😊