Truly UNDERSTAND blood gases! Interpretation of blood gases PART I.
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- Опубліковано 6 лип 2024
- WHY are blood gases so helpful? What is the pH (and what do we accept in newborns)? And what is a normal PC02 level? What about a PO2 level? What's the difference between the oxygen saturation and the PO2? LEARN ALL THIS AND MORE!
1 mins 42: General information about gases
4 mins 44: What is a pH? What is normal? What do we accept in newborns?
6 mins 53: What is the PC02? What is normal?
9 mins 16: What is the P02? When do we use it?
12 mins 10: What does Oxygen Saturation actually mean? How is it related to iron binding sites?
13 mins 02: How are P02 and saturations related? How does this relationship change in fetal Hb?
14 mins onwards: Putting it together!
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Dr. Tala is a board-certified neonatologist, and has worked in busy level III and IV units for the past 15 years. She has won multiple teaching awards throughout her time as a neonatologist.
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All videos and images are the property of the Tala Talks NICU team
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Music: www.bensound.com (royalty free with credit)
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*Disclaimer*: This video is intended for educational purposes only and while
we strive to give the most accurate information, errors may occur. Subsequently,
this video should not be a replacement for medical advice.
I love your videos, as a new nurse it's so hard to find information that is neonatal specific and as soon as I found your channel I was so happy, the way you explain things is amazing!
Thank you so much- this is exactly what we were all hoping for when we started this channel! We hope you love the NICU as much as we do!
I am a new NICU nurse and just found this page today. The content is extremely valuable and helpful, so thank you for taking the time to break down some difficult to understand subjects. I've learned as a new GN and new NICU nurse that the NICU world is like none other in the hospital! So very much to learn and understand.
Thank you so much for taking the time to write us such a lovely comment! And congratulations on your new role- we're sure you'll love it! Hopefully we'll be doing this for a long time, so we're hoping this channel will continue being a good resource for you :)
I am a neonatal nurse from the UK and I have found you looking for a video on neonatal blood gases. I love how easy you make it to understand something I have struggled to get my head around and have been hooked on your videos since. Thank you so much xxx
Oh Terri- thank you- kinda needed this comment! Feeling blah after holidays etc- and needed a little push and you provided it! Thanks so much!!!!!
no, thank you for getting me through a long night shift, feeling like I learned something :) xx@@TalaTalksNICU
Ha great symbiotic relationship then! Glad you made it through your night! Xx
I appreciate you guys for making this content! More power! May your channel grow bigger and bigger!
Thank you so much- can't tell you how happy it makes us that these are helping you. We need this motivation to continue because it does take so much time- so thank you thank you thank you!
I've been a consistent viewer of yours for years. Im a NICU nurse and I watch your videos in the morning when Im getting ready for work to get my brain going. Im currently training for the resus team which is really scary to me but I find if I understand why we are doing things I feel a lot better. Seriously I can't thank you enough, you have helped me build my confidence and knowledge!!
So you're the one! ha! Really cannot begin to thank YOU enough!!! Those first few videos were tough and Arianna and I were like "Are we going to continue doing this?" and then we'd get a couple of likes and keep going. So we owe a lot to you!!!! Resus team is scary but it's also so satisfying- and you obviously have the natural curiosity for it! So good luck! You'll love it!!! Thanks again XX
Watch. This channel will blow up soon! Amazing content always 💕
Ha we doubt it- but will be largely thanks to you if does!!! Thanks so much for loyal support!!!! We bet you’re great to work with too :)
YOUR CHANNEL IS THE BEST!!
Thank you sp much Bayan! for the positive energy and for subscribing! Thanks for being here :)
Thank you Doc Tala! Your lectures are highly appreciated! I am a new NICU nurse and I do appreciate you simplifying these topics! - RN, Texas USA
So happy you've found yourself in the NICU! And in Texas too :) Thanks for watching and for your lovely words. Let us know if there are subjects that would be particularly helpful!
I absolutely love how you explain concepts and how you relate it to neonates
What a lovely comment- really our goal for these videos! Thanks so much for watching :)
This was great. Looking forward to part 2
Thanks so much Crystal! We're so happy you're here and watching :)
Thank you, this is great for new nurses in the NICU! I can share these videos with those whom I am orientating !
That makes us so happy Lucy- we started this channel specifically because many NICU nursing orientees told us how helpful it would be. Thank you for finding us and for passing the videos on!
Thank you so much for this content it helps a lot
Thank you so much for watching and for the positive feedback- it's keeping us going!
Great presentation thank you for making these videos
Thank you so much Foto for watching and for taking the time to comment :)
I’ve been a labor and delivery nurse for over 10 years and have never had anyone explain it as simple and understandable as you did! Now I truly understand how to interpret blood gases instead of trying to just remember numbers. Thank you so much! Total game changer!
Hello! I read your comment first thing this morning- and I can't tell you how happy it made me! So glad it clicked! It makes medicine more interesting too. Thanks soooo much for letting us know! :)
I’ve been a midwife for 8 years and every now and then I try to refresh my knowledge on this and it’s always just as confusing every time lol. This presentation absolutely made it so much clearer! I loved the end explaining the association of fetal blood. Ive watched a few videos tonight and I’ve truly learned things in a whole new way.
@zocava90 oh that’s fantastic! Thank you for such a lovely message!!! Also impressed that you’re always on a path to learn more! Thank you for being here :)
Excellent video. I like all your videos
Thank you so much Conuelo! We really appreciate your positive comments!
I have referred my coworkers to your page! Thxx
That's really sweet of you. Thanks so much for continuing to watch too :)
I just love your videos 😂 just keep posting plz
Thank you so much! That's definitely our plan!
Thanks alot Dr Tala..u can explain tough things more easily.u r best teacher for 🥰🥰
Thank you so much for your lovely words- and for taking the time to write them :)
Very good presentation
Thank you so much Sumathy.
Excellent videos! Keep up the good work Dr Tala. By the way, may i know where is the link for the MCQs? Thanks.
Thanks so much for your encouragement! Also thanks for bringing up that it's not obvious where these are! We'll advertise them better! They're under the community tab on the home page. Really hope they help! Let us know if you'd like another type of question!
Thank you 🌷🌷🌷
Thank you so much Amina- always so positive :)
Great thanks
Thank you :)
Thank you
Thanks so much for watching Zama :)
ما شاء الله. بارك اللة فيكم
👍
Thank you!
Dr Tala, can you please do a video on electrolyte correction (Na/Mg/Ca/Potassium). Thank you so much !
YES! WE need to get back to electrolytes- those TPN ones took it out of us! Ha! Lots of concrete material- whereas we prefer explaining stuff! WE'll get around to it, we promise :)
Thank you.. I just recently found your channel. I will watch more often.. can you please discuss neonatal seizure please 🙏🏻 ❤
Hello Kathleen! Yes we definitely need to get around to this. I’m hoping to cover seizures with an aEEG machine live- so would love to get some help from a maker of the machines!!!! Thank you so much for being here! We’re happy you found us!
Thank u v much for video mam..i want u to cover abo incompatibility
Hello! We will definitely get around to jaundice- we are actually planing a whole series on neonatal hyperbili. Thanks so much for watching and for offering a great suggestion.
Also how to use the cpap and ventilation
We did some basic ventilation videos but we’re getting ready to make some videos on how the loops and everything work!
Can you do a video on trach's please.
Hello! Obviously we've made decisions for infants to be given a tracheostomy (whether from CLD or airway issues) and we've been involved in the care- but neonatologists are not really skilled at trach. care! Would you still be interested in a more "this is when you need one" type video?
HELLO THERE. Kevin rovelli respiratory specialist here!!!!!
I miss you so much work closer or something
KEVIN!!!!!! Hahaha! I miss our crazy admissions together!!! Want to do a talk on how to set up an oscillator?!
Unfortunately I have a face made for radio. Not such a great speaker. But if you need some behind the scenes stuff I’d be very happy to help out
That's not true at all!! You'd be a true natural!!!
Hi Dr Tala. How do you manage babies who have metabolic acidosis but with hypernatremia >150meqs serum Na? Do you still give sodium bicarbonate? Thank you.
Hello! You bring up a really interesting topic- usage of bicarbonate. During fellowship, if we had a metabolic acidosis with high Na, we'd use THAM, a non-sodium base to help correct the acidosis. Then in late 2000s, more data started coming out that bicarbonate probably doesn't do anything except make us feel better about the numbers (and maybe make the cells more acidotic). So I pretty much stopped using bicarbonate, and instead concentrated more on correcting the underlying cause. The contractility of a NORMAL heart isn't really affected until the pH reaches approx. 6.8, so maybe at that point, you'd consider it. (i.e., give it if infant coding). Cardiologists dealing with an abnormal heart (e.g. a HLHS etc) ask that we use bicarb in these infants because it's such a different population. So my answer would be don't use it, or use anything very sparingly. I'm sure others would tell you differently- so listen and read as much as you can- as you seem to be doing :)
Thanks! You’re definitely one of the best neonatologist! I really cant wait for more upcoming videos from you, Dr. Tala! You inspire me to read more and be more critical when it comes to management of my sick neonates patients. ☺️
We're so so happy you feel inspired to read- and thank you for the lovely compliment, but I'm sure, as you're probably realizing, the physician is just a small part of the puzzle. It's the entire team- from whoever trains you, to all the people you work with-other doctors, NNPS, nurses, RTs, the nutritionists, ST/OT etc. etc. that determines if a baby is getting the best care or not. Your enthusiasm is infectious though!!! Thank you!
Can you please talk about NEC
Yes! Nancy! We promise it's coming- we got behind with requests- but we're planning two videos on NEC- probably soon after blood gases. It's such an interesting and important (and tragic) topic. Thanks for watching and giving us a suggestion!
I love you 😍
We love YOU! Thanks you for your enthusiasm!
My 25 weeker now 40 weeks still on cpap . Her blood gas recently was 66 . She doesn’t look she’s struggling with her breathing…. She have horrible reflux . I am so confused
Hello Aster. Congratulations on your baby. It is very difficult to make any comments on your baby without a full history and physical exam. I'm sure your baby is in good hands- I hope she is able to wean off CPAP soon. Good luck
❤ I’m looking for help! I was an er nurse for 6 years. I left and went to nicu level 3. But for level one and two I didn’t get a good preceptor. I don’t know to manage time. I don’t feel like I know what I’m doing. She didn’t show me a lot and she didn’t give me any tips cause I had experience as a nurse. :(
If anyone cause help!? I want to leave the unit because I’m struggling so much with time and … everything. Last shift I didn’t get to eat. ❤ please help. I don’t want to be negative and I’m not get much help on the unit. So I’m trying to go on my own and become better.
Thank you for ANY HELP ❤❤❤
Hi Rose! I'm SO sorry you're feeling like this. First- the fact that you care and that you want to be more helpful is an excellent sign! Second- having worked for 6 years in the ER, you are used to the routines and all the different procedures- so it's really hard starting at the bottom again. You're used to feeling lie you now what you're doing. Keep going, and asking questions, and offering help, and reading up, and being a positive force in the unit. Don't give up! They will be Lucy to have you :)
The way of using vasoactive drugs in neonate
We made a couple of videos on hypotension myths- which say a lot about where we are! But we’ll be publishing the actual inotrope video soon!
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Thanks!
Thank you 🌷🌷🌷
You're welcome 😊