This is my first time understanding ABGs. I have been a nurse for 10 yrs now. Thank you Dr. Sharon. I'll be taking my nclex by April and I've been listening to this channel for a while now.
thank you so much for this video, i really needed this because i was struggling i watched so many lecture videos even mark's lecture as well. But this video is everything to understand ABG's.
I went back to your video, and actually took down notes, and wow! this is so awesome! I like the way how you use the ROME and just focus on the pH and Bicarb, this will definitely be my new way of answering ABGs, and I am pretty sure, I will not forget this until I get old! haha
I just graduated and passed my nclex, we were always told in nursing school we were never give 100 % oxygen to a copd . patient. The last question I used ADPIE on.. Always assess first never assume.
So how does the ROME trick work if HCO3, and pH are low, and we also have a high pCO2? I understand ROME says it would be a metabolic problem, but why wouldn't the high PCO2 lead you to think respiratory acidosis? Why doesn't the respiratory system count in that example?
Which value is further off. The ph is correct but which other value is closer to normal? Go with the one thats further off and the opposite one is only a little bit off because you have compensation. It took me a long time to understand the concept of compensation and why sometimes the numbers dont make sense.
I’m still a little bit confused of why you would assess the vital signs first. If I see my patient has that low of an O2, I would reposition them and then assess the vital signs. Of course, our teachers have told us over and over again to reposition before you do anything because that might improve oxygenation. I don’t know maybe I’m thinking too much into it.
There is no mention as to what position the patient was in therefore repositioning would have a POSSIBLE improved outcome. Without knowing what the current position the client is in, we dont know whether repositioning would improve their condition or not. On the nclex, we cannot choose a possible outcome over a sure outcome.
I think I paid for the channel but I can't find my info. This was nice, but I need to understand it in a lot more depth for my class. I need to be able to defferentiate between partially compensated, compensated imbalance and respiratory failure. My school just trhrows the book at us, and expects us to know it all.
