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

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  • Опубліковано 17 лип 2020
  • 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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КОМЕНТАРІ • 138

  • @ezmed
    @ezmed  3 роки тому +4

    🔸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
    @augustcookie7670 2 роки тому +42

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

    • @ezmed
      @ezmed  2 роки тому +5

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

    • @mobifoluwamotunrayo562
      @mobifoluwamotunrayo562 Рік тому

      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
    @donaldkite5004 11 місяців тому +2

    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
    @eldalote147 2 роки тому +10

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

    • @ezmed
      @ezmed  2 роки тому

      Great to hear, and good luck with your studies!

  • @curtpiazza1688
    @curtpiazza1688 2 роки тому +5

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

    • @ezmed
      @ezmed  Рік тому

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

  • @shellyrea2601
    @shellyrea2601 9 місяців тому

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

  • @overworkedcna412
    @overworkedcna412 2 роки тому +19

    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
      @ezmed  Рік тому +3

      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
      @amarmata1 Рік тому

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

  • @rhiannonblue5783
    @rhiannonblue5783 2 роки тому +4

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

    • @ezmed
      @ezmed  2 роки тому +1

      Great to hear, thanks for the sub 👍

  • @cobby-sama7969
    @cobby-sama7969 Рік тому +1

    The greatest video of all time🔥

  • @jkklaptop001
    @jkklaptop001 Місяць тому

    Very good explanation

  • @sujathalakshmi4290
    @sujathalakshmi4290 2 місяці тому +1

    Thank you so much sir❤ 4:40

  • @AmberU
    @AmberU 2 роки тому +1

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

    • @ezmed
      @ezmed  Рік тому

      Nice! Glad you liked this method! 👍

  • @ummintisar
    @ummintisar 2 роки тому

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

    • @ezmed
      @ezmed  2 роки тому

      Good luck on your exam! 🙏🏻

  • @duck3209
    @duck3209 2 роки тому +1

    best one i have seen so far

    • @ezmed
      @ezmed  Рік тому

      Awesome! Appreciate that 🙏🏻

  • @michelleuwakwe4709
    @michelleuwakwe4709 Рік тому

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

    • @ezmed
      @ezmed  Рік тому

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

  • @janeybear852
    @janeybear852 Рік тому

    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!

  • @msdeshabangbang
    @msdeshabangbang Рік тому

    You made this sooo easy, thank you so much

    • @ezmed
      @ezmed  Рік тому +1

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

  • @wa8642
    @wa8642 5 місяців тому

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

  • @sahibmirza
    @sahibmirza 2 роки тому

    You made it sound so easy.
    Thank you

    • @ezmed
      @ezmed  2 роки тому

      You’re welcome 👍

  • @SwarnanjaliPradhan
    @SwarnanjaliPradhan 3 роки тому +5

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

    • @ezmed
      @ezmed  3 роки тому +11

      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
      @Locgirl326 2 роки тому

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

    • @ginaabelada4263
      @ginaabelada4263 Рік тому

      What about the compensation sir,?

  • @leah8613
    @leah8613 3 роки тому +1

    This is absolutely genius, thank you so much!

    • @ezmed
      @ezmed  3 роки тому

      No problem!

  • @stephanieprescott3530
    @stephanieprescott3530 8 місяців тому

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

  • @menkemzita912
    @menkemzita912 2 роки тому

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

    • @ezmed
      @ezmed  Рік тому

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

  • @drankurbaruah
    @drankurbaruah 2 роки тому

    BOOM! Understood.
    Awesome video!!!

    • @ezmed
      @ezmed  Рік тому

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

  • @kalasrikumar8331
    @kalasrikumar8331 2 роки тому

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

  • @sachinsudhi9690
    @sachinsudhi9690 2 місяці тому

    Thankyou 😊

  • @aljabr1465
    @aljabr1465 2 роки тому +1

    Super easy, super useful 👍

    • @ezmed
      @ezmed  Рік тому

      Great to hear! 👏

  • @beentube196
    @beentube196 Рік тому

    Thanks

  • @matapangnakristiyano
    @matapangnakristiyano Рік тому

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

  • @simonedurham3934
    @simonedurham3934 3 місяці тому

    i love this im going to try

  • @nehal8163
    @nehal8163 2 роки тому

    U saved my life. Thank you!

    • @ezmed
      @ezmed  Рік тому

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

  • @FuldisiaButt
    @FuldisiaButt Рік тому

    Good work

    • @ezmed
      @ezmed  Рік тому +1

      Thanks! 🔥

  • @leahvilleroz2663
    @leahvilleroz2663 2 роки тому

    wheres the compensation vid??? :

  • @Ahmedmostafa-ox4jw
    @Ahmedmostafa-ox4jw 2 роки тому

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

    • @ezmed
      @ezmed  2 роки тому +1

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

  • @aisuklangkharsohtun2395
    @aisuklangkharsohtun2395 6 місяців тому

    Thank u so much ....

  • @debigdogk9563
    @debigdogk9563 2 роки тому

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

    • @ezmed
      @ezmed  Рік тому

      Haha appreciate that! Enjoy the channel! 🙌

  • @jagadul
    @jagadul Рік тому

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

  • @drushayadav
    @drushayadav 3 роки тому

    Excellent and yet easy way

    • @ezmed
      @ezmed  Рік тому

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

  • @Mrjackye19
    @Mrjackye19 Рік тому

    Gonna use this for my NCLEX. Thanks!

    • @ezmed
      @ezmed  Рік тому

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

  • @zahraanoor7187
    @zahraanoor7187 Рік тому +1

    WOW!!! THX

    • @ezmed
      @ezmed  Рік тому

      Happy to help! 😊

  • @macreflex1
    @macreflex1 Рік тому

    Thank you

  • @jenngzz11
    @jenngzz11 Рік тому

    Thank you 😊

  • @celineg402
    @celineg402 Рік тому

    this is genius

    • @ezmed
      @ezmed  Рік тому

      Happy to hear it helped you out! 👌

  • @jenniferjohnson1204
    @jenniferjohnson1204 5 місяців тому

    Amazing!

  • @nathandelrio7558
    @nathandelrio7558 Рік тому

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

  • @krystallove1880
    @krystallove1880 2 роки тому

    great method , good job

    • @ezmed
      @ezmed  Рік тому

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

  • @harshanilanka7779
    @harshanilanka7779 Рік тому

    Wow how easy.thank u sooo much

    • @ezmed
      @ezmed  Рік тому

      You bet! 💯 Glad this helped simplify it! 🙌

  • @emmanuelmwaba4909
    @emmanuelmwaba4909 2 роки тому

    Very helpful indeed. God bless you

    • @ezmed
      @ezmed  Рік тому

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

  • @doctorfaheemkhanbalouch6322
    @doctorfaheemkhanbalouch6322 Рік тому +1

    Very easy.

    • @ezmed
      @ezmed  Рік тому

      Great! 👍

  • @karimkhan7221
    @karimkhan7221 2 роки тому +1

    you are a genius bro😘😘

    • @ezmed
      @ezmed  Рік тому

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

  • @andyspark5192
    @andyspark5192 Рік тому

    What is the outcome of ABG in long C0VlD patients?

  • @macalanmayenaccel304
    @macalanmayenaccel304 2 роки тому +1

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

    • @ezmed
      @ezmed  2 роки тому +2

      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!

  • @kwame9212
    @kwame9212 Рік тому

    You just saved me.

    • @ezmed
      @ezmed  Рік тому

      Haha memory tricks can be game changers! 💪

  • @TheeNatashaD
    @TheeNatashaD 3 роки тому +1

    Very helpful!

    • @ezmed
      @ezmed  Рік тому

      Great! 👏

  • @nikireddy5024
    @nikireddy5024 Рік тому

    Thankyou so much u made it so easy 😇

    • @ezmed
      @ezmed  Рік тому

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

  • @amandasmith9343
    @amandasmith9343 Рік тому

    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
      @ezmed  Рік тому

      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! 🙏🏻

  • @jondrea97
    @jondrea97 Рік тому

    Thank you!

    • @ezmed
      @ezmed  Рік тому

      No problem! 👍

  • @radhikaradhi6772
    @radhikaradhi6772 3 роки тому

    Good !easy to remember !

    • @ezmed
      @ezmed  3 роки тому

      Great! Glad it helped, and thanks for watching!

  • @huzaifahuzaifa6606
    @huzaifahuzaifa6606 10 місяців тому

    Where is PO2?😢

  • @MrHuofeng
    @MrHuofeng Рік тому

    Easily explained...thnx

    • @ezmed
      @ezmed  Рік тому

      No problem! 👏

  • @sumayafaez5353
    @sumayafaez5353 2 роки тому

    good luck 👍🏻👍🏻👍🏻

  • @najwashairahmatsaad5498
    @najwashairahmatsaad5498 2 роки тому +1

    How do i interpret when there is pO2?

    • @ezmed
      @ezmed  2 роки тому +2

      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!

  • @tanutripathi6390
    @tanutripathi6390 Рік тому

    Awesome video...God bless

    • @ezmed
      @ezmed  Рік тому

      Thanks for watching and glad you found it helpful! 👏

  • @mansirana8370
    @mansirana8370 2 роки тому

    Thanku it's really helpful

    • @ezmed
      @ezmed  Рік тому

      Great! Thanks for watching! 👏

  • @tinatubman7986
    @tinatubman7986 2 роки тому

    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
      @tinatubman7986 2 роки тому

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

    • @ashleyhutchinson8358
      @ashleyhutchinson8358 2 роки тому

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

    • @yousafkhan3893
      @yousafkhan3893 2 роки тому +1

      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
      @nathandelrio7558 Рік тому

      @@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
      @x0-x0 Рік тому

      This abg showed acute respiratory alkalosis with metabolic compensation

  • @nabeela6467
    @nabeela6467 Рік тому

    Are there practice questions you have for this topic?

    • @ezmed
      @ezmed  Рік тому

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

  • @goldstarhospital
    @goldstarhospital Рік тому

    made easy

  • @tahsinazmi57
    @tahsinazmi57 2 роки тому

    wooooww..thanks for this video....

    • @ezmed
      @ezmed  2 роки тому

      No problem 🙏🏻

  • @YedidyaDear-Yachnes
    @YedidyaDear-Yachnes 3 роки тому

    what about partial compensation?

    • @ezmed
      @ezmed  3 роки тому +4

      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!

  • @honeyannjacob6753
    @honeyannjacob6753 3 роки тому

    Great great I love it

    • @ezmed
      @ezmed  Рік тому

      Perfect! 🙌 Glad you liked it!

  • @parampatel6555
    @parampatel6555 Рік тому

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

    • @ezmed
      @ezmed  Рік тому +1

      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! 🙏🏻

  • @rohacassie1339
    @rohacassie1339 Рік тому

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

  • @user-fy7ri8gu8l
    @user-fy7ri8gu8l 2 роки тому

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

  • @NaturalNiche23
    @NaturalNiche23 Рік тому

    ❤❤❤

  • @priyajulie4027
    @priyajulie4027 Рік тому

    Super uh😂❤

  • @banhishikhabhadra2898
    @banhishikhabhadra2898 13 днів тому

    U're God!

  • @rn87mom94
    @rn87mom94 10 місяців тому

    Your resp acidosis is NOT compensated. You’re only compensated with a normal ph. Until then- you’re just NOT.

  • @rcc7351
    @rcc7351 3 роки тому

    i love yoiuiuiiiiii

  • @MsNursetonya
    @MsNursetonya Рік тому

    U r going so fast

    • @ezmed
      @ezmed  Рік тому

      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! 😊

  • @bushtravilymarin8700
    @bushtravilymarin8700 2 роки тому

    Incomplete

  • @gabrielbargeron9749
    @gabrielbargeron9749 2 роки тому

    Bro this made absolutely no sense. I actually understand this concept to a lesser degree now.

  • @thottungalhouse9231
    @thottungalhouse9231 2 роки тому

    Thank you 😊

    • @ezmed
      @ezmed  Рік тому

      You're welcome 😊