Respiratory Therapy - Why Is V/Q Ratio Important?

  Рет қаралды 26,628

Respiratory Coach

Respiratory Coach

Күн бұрын

In this video we breakdown shunt vs deadspace in relations to V/Q ratio. What is a shunt? What is deadspace? How does shunt and deadspace affect my V/Q ratio?
Please subscribe, like and comment. Would love to hear what you think about the video. Also look for me on social media....
IG @respiratorycoach
Twitter @coachrrt
Feel free to email me any questions or concerns @ respiratorycoach@gmail.com.
BEST WISHES!!!

Пікірлер: 105
@ICUAdvantage
@ICUAdvantage 4 жыл бұрын
Remembering the difference between shunt and deadspace used to drive me crazy!!
@RespiratoryCoach
@RespiratoryCoach 4 жыл бұрын
SAME! So hard to keep straight as a student and new grad.
@Made_in_VT
@Made_in_VT 10 ай бұрын
Much appreciated...you've been so helpful the past year by making complicated lectures much easier to understand.
@RespiratoryCoach
@RespiratoryCoach 10 ай бұрын
Awesome! Love to hear that you find the channel helpful! Thank you so much for watching and kindly commenting.
@deborah18
@deborah18 2 жыл бұрын
I haven't even watched this yet and I know it'll be good! You're a gem and deserve way more views. I'm an aspiring CRNA who has always struggled with ventilatory settings and the respiratory system. You have helped me greatly with understanding these concepts! Thank you!
@georgecamarena6329
@georgecamarena6329 3 жыл бұрын
You make me understand everything so much better especially now through covid .. thanks man you’re making a difference
@fishingsouls4christceoofgi614
@fishingsouls4christceoofgi614 2 жыл бұрын
My daily dose of growing! Thankyou Coach 🌻
@beckybarnett2066
@beckybarnett2066 2 жыл бұрын
I just shared this video with two of my favorite critical care RN's (Abbey and Robert). They are studying for the CCRN exam. This information is part of the study material and practice exam. Thanks again, Joe! ❤ your videos.
@RespiratoryCoach
@RespiratoryCoach 2 жыл бұрын
Thanks for sharing, Becky! I appreciate you!
@mitchkrdr
@mitchkrdr 3 жыл бұрын
You are my go-to person for all these confusing topics! My mind is blown away!
@adrianevans1507
@adrianevans1507 2 жыл бұрын
Bud, you are an absolute genius! I watched 4 other videos before finding yours, 1 of those videos I watched three time and didn’t get it. Your explanation is superb. Best videos on KZfaq 👌
@RespiratoryCoach
@RespiratoryCoach 2 жыл бұрын
Awesome! Glad it made sense! Thanks for watching and kindly commenting.
@jasonvega1057
@jasonvega1057 2 жыл бұрын
Thank you SO much for clearing this up for me!!!!!!!!!!!
@larisalaniak3312
@larisalaniak3312 Жыл бұрын
I have NEVER understood this concept until now....bless you!!!! :)
@karencorrales9810
@karencorrales9810 9 ай бұрын
Thank YOU so much for this!! This was extremely helpful in understanding this topic. I was able to answer all the questions correctly!
@sarahcollins8273
@sarahcollins8273 Жыл бұрын
This is so incredibly helpful, thank you!!
@kennethweiss9068
@kennethweiss9068 3 жыл бұрын
Excellent again coach! Thank you!
@immii14
@immii14 2 ай бұрын
Theeeeee best video out thereeeeee ….. cnt stress enuf .was sitting with ma material for an hr and he explained it soooooooooo beautifully. Thanks tou u for ur time. And effort
@Megan-uw9xj
@Megan-uw9xj Жыл бұрын
OMG...thank u for simplifying it!!!
@mhairiboyd7712
@mhairiboyd7712 3 жыл бұрын
This was invaluable! Thank you for simplifying what can appear to be an over complicated topic. 👍🏻
@RespiratoryCoach
@RespiratoryCoach 3 жыл бұрын
Glad you found it helpful! Thank you for watching and commenting!!!
@myrlwallace9012
@myrlwallace9012 3 жыл бұрын
Thanks! Your presentation was amazing and simple. It made sense in an awesomely easy way to understand and remember.
@RespiratoryCoach
@RespiratoryCoach 3 жыл бұрын
Cool! Thank you for watching!
@frankmaggio4328
@frankmaggio4328 Жыл бұрын
Thank you for making this and your other videos. I have 25 yrs invested in Nursing. Almost all in the ER, including travel contracts @ Level 1 & 2 trauma centers. I have to be honest , I was always taught "Bag and call RT" & "Let RT handle the vent, you handle the rest". Well that all changed when I took a travel contract in a small town in Northern NY. "What do you mean 'I' have to work the ventilator?" Well the luxury of having RT at my beckon call is over. Having RT in the building overnight it's not a thing here so I'm having to learn after these yrs. This video ROCKS!!!!!! Thanks for putting what I already know into an even better format. I'm definitely going to use your breakdown when I teach new Nurses.
@waledkt0077
@waledkt0077 Жыл бұрын
When i am lost in respiratory knowledge i just dive into your channel to get some ventilation Thanks a lot
@beckybarnett2066
@beckybarnett2066 3 жыл бұрын
Excellent presentation! Thank you.
@irenes3971
@irenes3971 Жыл бұрын
Ur lecture is awesome! Hit the key points and easy to understand! Love them! Thank u very much!
@brindamohabir8432
@brindamohabir8432 3 жыл бұрын
He makes every topic so easy
@gihansaleh3721
@gihansaleh3721 3 жыл бұрын
Very simplified and amazing explanation thank you so much for your effort
@Miks2092
@Miks2092 2 ай бұрын
Crystal clear explanations😊
@christinabrueggemann2829
@christinabrueggemann2829 2 жыл бұрын
Very very helpful!! Thank you
@helenosawe6327
@helenosawe6327 2 жыл бұрын
Thank you so much, very helpful.
@angelandbryan
@angelandbryan 4 жыл бұрын
This was brilliantly explained. Thank you!
@RespiratoryCoach
@RespiratoryCoach 4 жыл бұрын
Thanks, Angel! Appreciate the feedback and you watching!
@bonnytoufic2936
@bonnytoufic2936 11 ай бұрын
I always had problems with these two. Thanks for making it easy.
@RespiratoryCoach
@RespiratoryCoach 11 ай бұрын
Thank you for watching and commenting!
@annettehall1569
@annettehall1569 Жыл бұрын
Where were you when I was a respiratory student? You're amazing!!!!
@keyannacurtis9252
@keyannacurtis9252 3 жыл бұрын
Explanation was informative but funny at the same time, just the way you explain it. But, I got it now. Thanks! It may just be my sense of humor.
@pulmovista500guidedaprv2
@pulmovista500guidedaprv2 2 жыл бұрын
What an excellent way to explain it. Thanks. I'll use this way to explain it to students.
@amine3226
@amine3226 3 жыл бұрын
Thank you so much!!! You literally made my day!
@RespiratoryCoach
@RespiratoryCoach 3 жыл бұрын
Awe...you made my day with this comment! Thanks for watching!
@FullTraderAlchemist
@FullTraderAlchemist 2 жыл бұрын
Your channel is RESPIRATORY THERAPIST UNIVERSITY. I am watching your videos every single day.
@RespiratoryCoach
@RespiratoryCoach 2 жыл бұрын
Great comment! Thank you very much for watching and perhaps naming my next project!
@bereketgde20
@bereketgde20 3 жыл бұрын
Man! You simplified it to the simplest form! No longer a mismatch in my understanding of V/Q mismatch😁. Taken care of. Thank you genius🙏
@RespiratoryCoach
@RespiratoryCoach 3 жыл бұрын
Awesome, Bereket! Glad it made sense and thank you for watching!!!
@MrMusiq2
@MrMusiq2 3 жыл бұрын
Wow....you just helped me tremendously!
@WebForte
@WebForte 2 жыл бұрын
Thank you so much sir,, learned a lot from Respiratory coach❤
@shmilyx007
@shmilyx007 3 жыл бұрын
Thank you so much for the great explanations!
@RespiratoryCoach
@RespiratoryCoach 3 жыл бұрын
You're very welcome!
@vickyk.m9596
@vickyk.m9596 4 жыл бұрын
As always you Rock!!!
@RespiratoryCoach
@RespiratoryCoach 4 жыл бұрын
Thanks again, Vicky!!!
@shaydelre1898
@shaydelre1898 3 жыл бұрын
I must be at that point in school when I'm about to be tested on this, so without missing a beat, here I am! I'm totally getting some merch also once I get my tax refund! Thank you again!! -Shay
@petu6inka
@petu6inka 3 жыл бұрын
Thanks a lot ! Awesome explanation as always :)
@RespiratoryCoach
@RespiratoryCoach 3 жыл бұрын
Glad you liked it!
@rondelking6596
@rondelking6596 3 жыл бұрын
Again, solid video. Makes so much sense from a practical standpoint. Can you make a video about how chest wall compliance/elastance can affect V/Q?
@RespiratoryCoach
@RespiratoryCoach 3 жыл бұрын
On the list! Stay tuned! Thank you for watching!
@taesarauw8374
@taesarauw8374 4 жыл бұрын
Thank you so much for all your knowledge and informative info on this channel! Such a tremendous great help! Can you please make a video on aerosols , humidifiers, vibrating mesh, ultrasonic neb, wick, HME. Questions would ask which one to use and it’s a bit confusing. THANKS!
@RespiratoryCoach
@RespiratoryCoach 4 жыл бұрын
You're very welcome, and I sure can!! Coming soon!
@morganice7816
@morganice7816 4 жыл бұрын
You are literally the only thing getting me through the next 9 days before my exit exam 😅 THANK YOU!
@RespiratoryCoach
@RespiratoryCoach 4 жыл бұрын
9 days! Go be great, Morgan! THANK YOU for watching and commenting.
@RespiratoryCoach
@RespiratoryCoach 4 жыл бұрын
And you are very welcome!
@morganice7816
@morganice7816 4 жыл бұрын
Respiratory Coach doing my best! This COVID crisis in Bergen County NJ is making exams harder and harder but literally these videos are saving me and most of my respiratory therapy class. No joke. You are awesome 😂
@hoganel79
@hoganel79 2 жыл бұрын
I'm telling everyone in my class to watch your videos!
@RespiratoryCoach
@RespiratoryCoach 2 жыл бұрын
Thank you! I appreciate the support! Thanks a ton for watching and kindly commenting!
@rejinashahiregmi285
@rejinashahiregmi285 3 жыл бұрын
Please do class on ventilations dyssynchrony....it would be so helpful....
@danielkeleta2263
@danielkeleta2263 4 жыл бұрын
thank you u are amazing .
@RespiratoryCoach
@RespiratoryCoach 4 жыл бұрын
Hey, Daniel. You are very, very welcome. Thank you for watching and leaving the kind comment. ❤️
@leejasamuel9526
@leejasamuel9526 Жыл бұрын
Excellent
@shanshan8113
@shanshan8113 3 жыл бұрын
Subscribed!
@jkl1672
@jkl1672 4 жыл бұрын
Thank you sir.
@RespiratoryCoach
@RespiratoryCoach 4 жыл бұрын
You welcome, sir. Thank you for watching and commenting!!!!
@thetruthhowiseeitbeylife4492
@thetruthhowiseeitbeylife4492 Жыл бұрын
Thank you
@llanceend2970
@llanceend2970 3 жыл бұрын
Wow super cool bro
@RespiratoryCoach
@RespiratoryCoach 3 жыл бұрын
Glad you liked it, Llance!!!
@itstisha9858
@itstisha9858 2 жыл бұрын
Two videos I watched said that normal ventilation to perfusion ratio is 0.8 is that incorrect? Very great video by the way!
@catherinemartin494
@catherinemartin494 6 ай бұрын
Hi I work in ED in Western Australia and have only just found your KZfaq videos.I am obsessed, they are so informative.I am so gonna be an expert or at least have a much better understanding of respiratory therapy. Thank you Joe
@yawenli100
@yawenli100 3 жыл бұрын
Thank you for the videos!
@luzmaalcaraz
@luzmaalcaraz 3 жыл бұрын
Can we calculate V/Q ratio w/o a V/Q scan? For example, using pt's actual ventilator minute ventilation for the "V" and if hooked up to hemodynamics monitoring, using the Qt value for the "Q?"
@nardjissmaroua1480
@nardjissmaroua1480 5 ай бұрын
Hi respiratory coach thanks a lot for this very helpful video I wanted to ask you what happens to co2 in the shunt , do we have hypercapnia along with hypoxemia?
@khadijabelqas1408
@khadijabelqas1408 3 жыл бұрын
Thank uuuuuuuu.... can you explain to me control of ventilation.. I failed that test and I’m prepping for the midterm..I would love to understand so I can study it.. thank u again.
@hypertekptk
@hypertekptk 3 ай бұрын
Thanks
@mwa_911
@mwa_911 Ай бұрын
I think in COPD you have decreased V/Q ratio as there is mucus build up inside the alveoli which would hinder adequate ventilation.
@lizl.6874
@lizl.6874 4 жыл бұрын
Totally make sense now for me. Will it make a difference if we knew it is shunting or dead space in managing patients particularly ventilated ones❓
@RespiratoryCoach
@RespiratoryCoach 4 жыл бұрын
Absolutely! Shunting will require more PEEP to promote better oxygenation, while an increase in deadspace will require a larger minute ventilation to adequately remove CO2. Hope that helps. Thanks for watching and commenting, Liz.
@jomikequillope1150
@jomikequillope1150 3 жыл бұрын
Hey coach! Can you PLEASE make a lecture about SWAN GANZ CATHETER and Hemodynamic Monitoring (CVP, PCWP, PAP)? Thanks in advance coach 😊
@RespiratoryCoach
@RespiratoryCoach 3 жыл бұрын
kzfaq.info/get/bejne/g5thla6SuJeRc5c.html
@danielt1812
@danielt1812 3 жыл бұрын
I'm really not understanding how COPD can be a condition typically characterised by high V/Q ratio. I've looked up sources that seem to label it with decreased V/Q ratios.
@RespiratoryCoach
@RespiratoryCoach 3 жыл бұрын
Hey, Daniel. Thanks for watching and for sharing your thoughts. If you consider the alveolar destruction, which leads to airtrapping and hyperinflated alveoli, in conjunction with pulmonary vasoconstriction caused by the chronic hypoxemia, then the idea of ventilation being in excess of perfusion makes sense. This article might help. www.ncbi.nlm.nih.gov/books/NBK442016/
@yamlevaharon934
@yamlevaharon934 2 жыл бұрын
A low V/Q will cause low PaO2 and normal PaCO2, what about high V/Q?
@RespiratoryCoach
@RespiratoryCoach 2 жыл бұрын
High CO2 , low O2, but a normal A-a gradient. Interesting stuff! Thanks for asking and watching!
@awaisshafi6541
@awaisshafi6541 4 жыл бұрын
What will be V/Q ratio in pneumothorax and pleural effusion
@RespiratoryCoach
@RespiratoryCoach 4 жыл бұрын
Both of those diseases create shunts, so your v/q ratio will decrease
@awaisshafi6541
@awaisshafi6541 4 жыл бұрын
Thanku 👌
@awaisshafi6541
@awaisshafi6541 4 жыл бұрын
And in pulmonary hypertension?
@RespiratoryCoach
@RespiratoryCoach 4 жыл бұрын
@@awaisshafi6541 Decreased pulmonary blood flow = ventilation greater than perfusion = deadspace = increased V/Q ratio.
@awaisshafi6541
@awaisshafi6541 4 жыл бұрын
Thanku and last question if question says just hypertension? Not mentioning either pulmonary or systemic then general HTN effect will be same as Inc V/Q?
@tani361
@tani361 3 жыл бұрын
Why we count numbers in 5 what is the logic
@RespiratoryCoach
@RespiratoryCoach 3 жыл бұрын
Hi Tanveer. In this video I used multiples of 5 to simplify the math for the sake of simplifying the concept. It's not always, actually rarely is it multiples of 5 with actual patient data, but the concept remains the same. Thanks for watching and asking this good question!
@joefrost5415
@joefrost5415 2 жыл бұрын
Small discrepancy at 17:11.... two is greater than one.... your greater than less than sign is backwards. REGARDLESS I AM GRATEFUL FOR YOU. Do you sell any TMC practice exams? Or should I just venmo you some cash???
@RespiratoryCoach
@RespiratoryCoach 2 жыл бұрын
LOL...my venmo is always open! Send me an email to respiratorycoach@gmail.com. I'll see what I can put together for you.
@ginabraun8843
@ginabraun8843 3 жыл бұрын
Great explanation. I'm so distracted by your mannerisms....Are you under the influence of a drug or alcohol in this video? No judgment. Just curious. Lmao
@RespiratoryCoach
@RespiratoryCoach 3 жыл бұрын
🤣 🤣 🤣 NEVER! Just very animated!
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