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😅
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! 👍
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!
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!
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!
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!
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?
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! 🙏🏻
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!
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.
@@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
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! 🙏🏻
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! 😊
![Acid Base Mnemonic for Anion Gap Metabolic Acidosis: Quick & EZ [Episode 14]](http://i.ytimg.com/vi/PFa9DJt7HOc/mqdefault.jpg)
![Acid Base Mnemonic for Anion Gap Metabolic Acidosis: Quick & EZ [Episode 14]](/img/tr.png)
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Wow. He explained in 3 minutes what my teacher took nearly 2 hours to explain. Thankyou!
Haha no problem! That's what this channel is designed to do, simplify it straight to the point! Good luck with your class! 😊
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😅
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.
This is a life saving video!! For paitents and also students like me😬
Great to hear, and good luck with your studies!
Thank you for always helping me understand the difficult topics for my nursing degree!
The greatest video of all time🔥
Thank you so much sir❤ 4:40
This is amazing. You have no idea how much time you saved me
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.
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! 👍
@@ezmed where is the video for compensation? I don't see it
This was so perfectly explained, I subscribed after just watching this one video! THANK YOU!!
Great to hear, thanks for the sub 👍
Wow! I'm not even a nursing student but I clearly understood your concise clear presentation!
That's awesome! Glad it was easy to understand! 👏
This was good by far the best way of learning this topic i have found.
Nice! Glad you liked this method! 👍
best one i have seen so far
Awesome! Appreciate that 🙏🏻
Yesssss!It really just made it easier.I hope my exam tomorrow is filled with ABGs In sha Allah!
Good luck on your exam! 🙏🏻
wheres the compensation vid??? :
How you can balance those things ? No one says about the treatment…. Pl tell 🙏👍
I go back to this video every other year when this becomes relevant on our topic again 😂😂
Very good explanation
Wow!! Thank you for making this so easy to understand. My lecturers needs to learn from you
Haha glad the video could be a could supplement to your lectures! Good luck to you! 🙏🏻
What if the three parameters each fall in one column? How do i interpret it?
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!
@@ezmed ph is normal PaCo2 is acidic and Hco3 is base its all across in each column ?
What about the compensation sir,?
Using anion gap
BOOM! Understood.
Awesome video!!!
Yay! Mission accomplished! Thanks for dropping a comment and watching! 👏
You made this sooo easy, thank you so much
Really happy to hear that! 😊 Making it easy was the goal, glad it delivered!
U saved my life. Thank you!
Memory tricks can definitely be lifesaving! Glad you liked it! 👏
God job. well understood ❤
you are a genius bro😘😘
Appreciate that. 🙏🏻 Thanks for dropping a comment and watching!
Super easy, super useful 👍
Great to hear! 👏
You made it sound so easy.
Thank you
You’re welcome 👍
Wow how easy.thank u sooo much
You bet! 💯 Glad this helped simplify it! 🙌
This is absolutely genius, thank you so much!
No problem!
Thank God I found you. Thank you thank you thank you AND THANK YOU 🙏
Haha appreciate that! Enjoy the channel! 🙌
i love this im going to try
Isnt partially compensated instead fully compensated. Fully compensated is when PH is in normal range?
great method , good job
Happy to hear you liked the method! Good luck to you! 🙏🏻
Gonna use this for my NCLEX. Thanks!
Awesome! 👏 Good luck on the NCLEX!! You got this! 💪
What if ph is 7.32 and both pco2 and HCO3 are normal?
What is the outcome of ABG in long C0VlD patients?
Good work
Thanks! 🔥
Thankyou so much u made it so easy 😇
Awesome! 🙌 That's the goal of the channel! Glad you found it useful! 👏
Very helpful indeed. God bless you
Thank you! Glad to hear it was helpful! 🙏🏻
Thank you
Okay so say bicarbonate and co2 were both under base but your ph is under 7.35, what would that mean?
Thankyou 😊
Thank you 😊
You're welcome 😊
Amazing!
Excellent and yet easy way
Mission accomplished! 🙌 Keeping it easy is the goal! And thank you for subbing to the channel! 🙏🏻
WOW!!! THX
Happy to help! 😊
How do you determine if it’s partial or full compensation?
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!
@@ezmed 😁
good luck 👍🏻👍🏻👍🏻
Awesome video...God bless
Thanks for watching and glad you found it helpful! 👏
How if the pH is 7.4, pCO2 is 50, and HCO3 is 32. The tictactoe method didnt work
Clear as mud.
Easily explained...thnx
No problem! 👏
Thank u so much ....
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!
I think the ph has to be normal to be considered fully compensated...
Very helpful!
Great! 👏
Thanks
How do i interpret when there is pO2?
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!
Thanku it's really helpful
Great! Thanks for watching! 👏
wooooww..thanks for this video....
No problem 🙏🏻
ABG interpretation is always a pain in the ass,I guess it WAS now, thanks for helping
Glad the trick helped change the “is” to a “was” 😂 Good luck to you!
Wow. I wish I found this video since .
It's so simple and understanding I now understand everything. Thank you so much
That's great! 🙌 Glad you now understand it!
Where is PO2?😢
Good !easy to remember !
Great! Glad it helped, and thanks for watching!
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?
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! 🙏🏻
Are there practice questions you have for this topic?
Not yet but is something that will be offered in the future! 👍 And thank you for being a subscriber to the channel! 🙏🏻
this is genius
Happy to hear it helped you out! 👌
what about partial compensation?
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!
Great great I love it
Perfect! 🙌 Glad you liked it!
Very easy.
Great! 👍
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?
You also said it should never be diagonal but my answer was diagonal
I think it would be respiratory acidosis the ph is within range and so is the bicarb so it’s no metabolic
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.
@@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
This abg showed acute respiratory alkalosis with metabolic compensation
You just saved me.
Haha memory tricks can be game changers! 💪
Great
What of a case where they are all low the CO2 and the HCO3
Whose causing the problem?
made easy
What if pH is 7.26, PaCO2 is 52, and HCO3 is 30? This puts two items under the base category.
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! 🙏🏻
Super uh😂❤
Eh... This is misleading it doesn't tell you the full compensations etc.
❤❤❤
Your resp acidosis is NOT compensated. You’re only compensated with a normal ph. Until then- you’re just NOT.
U're God!
i love yoiuiuiiiiii
U r going so fast
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! 😊
Bro this made absolutely no sense. I actually understand this concept to a lesser degree now.
Incomplete
68068 Champlin Walk
Thank you!
No problem! 👍
Thank you 😊