Respiratory Therapy - ABG Interpretation Metabolic Alkalosis

[@meaganarnold6587]

I had a patient on a lasix drip yesterday and this video really helped me understand what was going on with him.

[@jameskm]

Hi and thank you, you just saved my keyster! This is a difficult subject to find online for some reason, I almost gave up! Thanks again! James

[@staceyevans7602]

BTW, I just took a 50 question practice test on ABGs (real questions from the TMC) and I got them all right!!! Thank you for your clear explanations for everything!! I am so happy :)

[@RespiratoryCoach]

NICE!!!! Strong work!

[@shaneoneal1658]

I was a Respiratory Therapist from 1986 to 1992. I never thought I would need these skills again when I switched careers to Information Technology. Now I find myself studying up. Thank you for helping me wake up those neurons again and trying to put them back to work. I remember more than I thought I did, just needed a little jolt. Gotta go, got to watch all your other videos. Keep up God's work!

[@RespiratoryCoach]

Welcome back, Shane! Here to help man, so let me know if I can help your transition in any way. Thanks for watching and sharing your story!

[@staceyevans7602]

Thank you! You literally make this stuff easy :)

[@miriambrisky4448]

Awesome videos! Thank you for sharing your knowledge.

[@joshualee2253]

Really enjoy the videos. Thank you.

[@RespiratoryCoach]

You're welcome, Joshua. Glad you're enjoying them and hopefully learning something.

[@shmilyx007]

Thanks for the great explanation. Particularly the examples you gave.very imformative!

[@RespiratoryCoach]

You're very welcome! Thank you for watching, Effie!

[@johnlewis381]

Once again a stellar video with valuable information! I think the content you give is going to set those that listen and apply it to their practice apart from an average therapist! I ask that you continue to deliver great content like this!!! I strive to be one of the best RRT for my patients!

[@RespiratoryCoach]

Will do, John. Thank you for the kind words and encouragement!

[@welbertbinauro7833]

Thank you for this very informative video 👌

[@RespiratoryCoach]

You're very welcome, Welbert. Thank you for watching and commenting!

[@khalidalhazb7012]

Hi coach, thanks again for another great video, I have Two questions if you didn't mind. One there is a normal range for a VBG like the ABG, but we use ABG more often why is that? Second question: is there signs and symptoms for patients blood gas. For example if a patient has Respiratory Alkalosis is there any signs that I can observe to say Iam 100% my patient is in respiratory alkalosis based of both my blood gas and the signs. Thanks alot coach 🙏

[@RespiratoryCoach]

Hi Khalid! First, thank you for watching and commenting. To answer your questions. 1) An ABG is the truest representation of both ventilation and oxygenation. A VBG is not a reliable indicator for oxygenation. Having said that, it is of my opinion that VBGs could suffice for clinical decisions, when used in conjunction with EtCO2 and SpO2, rather than serial ABGs. Of course, that's following an initial assessment of and EtCO2 correlation with a baseline ABG. 2) With time and experience you'll develop an intuition in regards to patient presentation and ABG results. However, there are no 100%, clear cut signs or symptoms that ALWAYS present the same ABG, except for maybe a code situation. Never assume, because there will be times when your patient looks terrible, but their ABG is shockingly not, and there will be other times when your patient looks good or decent, but your ABG reveals the opposite. Just speaking from years of clinical experience. Great questions and hope these answers suffice. Go be great!!

[@geoffreybragg4948]

Awesome videos dude. Where can I get one of those shirts?

[@RespiratoryCoach]

Thanks, Geoffrey!! Let you know once my print shop reopens. Thanks for watching and commenting!!

[@nigel5009]

In the video you said the neuro drive to breathe would like to turn the VE down to 3l/m to allow the CO2 to increase to compensate. But the neuro drive can not decrease the VE because the vent is in VCV with a set VE of 6. My question is, why can't we adjust the vent settings to get a set VE of 3 to increase the CO2?

[@RespiratoryCoach]

Hey, Nigel. I guess we could, but can't say I've ever seen it. Doing so just fixes the abg, but doesn't treat the metabolic disorder. Instead just quickly treat the cause of the metabolic alkalosis. Great question! Thank you for posting it and watching!!!

[@heatherparker2491]

I'm watching all of your videos for review. Old CRT here.

[@RespiratoryCoach]

Hello, Heather! Reviewing for RRT? Welcome to the channel and thanks for watching!!!

[@heatherparker2491]

@@RespiratoryCoach well yes and possibly helping out somewhere due to the current situation. Worked the floors for some amount of years. Left Respiratory, I was young and death and dieing was difficult for me, especially with Chronic patients. Went back to sleep disorders for a lot of years and loved it but, just being real here, hospital click politics forced me out. I was done with Respiratory, I let people make me believe I am not worthy of working in the field because I'm just a CRT. It's not true. Decided to go to school for Nursing.....Lord have mercy, let me just say it just sucks repeatedly taking the same classes I've already passed years ago.... I'm respiratory. Plain and simple and I will not rest until I'm back where I belong, taking care of others.

[@heatherparker2491]

And yes, RRT. I'm getting it.

[@RespiratoryCoach]

@@heatherparker2491 👏👏👏

[@olgashybisty7967]

Great explanation. Just a question, was that setting apnea alarm off for more than 2 minutes ok in the hospital setting? Did you have to get a Dr's order?

[@pinto217bean]

What if the pt is a chronic kidney patient ?