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hey, im a surgeon who recently joined an ICU and I must say, your videos have been of great help in understanding critical care medicine. much appreciated!
You are a blessing to people like me🙏🙏🙏 May God continue to bless you to be a blessing to others!!!!! I followed all five lessons. You made it so clear and easy to understand 👌
I only just found this channel while looking for abg interpretation videos and the entire abg series was immensely helpful and so easy to understand. And the examples in each was a really useful thing, so thank you for these videos!
I guess I’m still confused as to how bicarbonate is just CO2 in the blood. Also I really don’t understand what to do after determining what type of alkalosis or acidosis is present.
How’s it going Eddie, I’m in my residency right now, and I ran across one where I had two normal values and one out of range…how would I go about that?
I think I know what your talking about, and my guess with no info is that one of the values (CO2 or Bicarb) was slightly out of normal, and the other was at the end, but still within normal. (Ex: CO2 46, Bicarb 26, pH normal still) Is that what you saw? Something like that?
@@ajohn1220 Ok yeah. So the CO2 is compensating by lowering, but not requiring dropping below 35. Now that said, given its a VBG, theres some studies to suggest that on average PvCO2 is about 5 mm Hg higher than PaCO2, so perhaps 40-50 is normal. That that said, theres also other studies that maybe suggest the correlation is all over the place, so who knows. Either way, we can assume the PCO2 is compensating for the low bicarb :)
You know, I actually went back and forth on whether or not to include BE in this lesson and made the decision to keep it out to keep this series to the basics. I think I will eventually do some more videos on additional topics related to this subject in the future as there were a couple others I do want to cover as well. I do really appreciate the feedback and suggestion. Thank you!