Respiratory Therapy - ABG Interpretation: Mixed Alkalosis vs Mixed Acidosis

This video breaks down the mechanisms behind mixed acid-base balances. We discuss various causes of each disturbance, and hope to clarify that when a mixed gas presents, there is no compensatory mechanism at play.
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Feel free to email me any questions or concerns @ [e-mail].
BEST WISHES!!!

[@shaydelre1898]

Nailed it!! So many ABG videos don't address the Mixed problems! I would transfer to your school if you were a teacher in my city. It's unbelievable how much more I understand because of you. THANK YOU, yet again!!!!

[@RespiratoryCoach]

Maybe I am? 😆🤣 Thanks for watching and commenting!

[@nofarelmer6847]

thank you!! nursing student from NY here. This was very helpful for oxygenation/perfusion class!

[@tarikrafiq1846]

Man, do you know you re good explaining these lessens better than school profs

[@rimimt9928]

I'm Algerian I'm an ICU resident I really appreciate your efforts👌👌👌

[@RespiratoryCoach]

Nice! Thank you for watching!

[@rachel1760]

I really appreciate your videos. As a brand new baby RT I am still learning along the way and to be honest it’s easy to forget things after boards. I love watching your videos to get refreshers! Thanks so much : )

[@danielezoni1330]

HelIo, I'm from Itay and I recently started following your channel looking for answer to some question about ventilation. I have to say I am very impressed of you effort and the very easy and straightforward expanation. Really a good job.

[@RespiratoryCoach]

Hi, Daniele. Got your email and responded this morning. Thank you for your kind comment and for watching.

[@paigespencer6927]

I'm in a master's entry RN program in Phoenix, Arizona, and this was GREAT. So clear and practical. Thank you for taking the time to make these.

[@RespiratoryCoach]

You are so welcome! Thank you for watching and best wishes in your Master's program!!!

[@SonshipRevivalLabour]

This is wonderful ❤️❤️👍👍 You've just cleared the web for me.... thank you so much

[@paolaestrada6913]

You're so helpful, always address all my problems!! thank you for making this channel!!!

[@RespiratoryCoach]

You are so welcome!

[@jeckellstallworth]

Respiratory coach another fantastic video and your lighting was great too. Thank you!

[@RespiratoryCoach]

Thanks, Jay. Got some new equipment to work with. Appreciate your feedback. Thank you!

[@FiFAWorldCupQatar-er3yj]

wonderful . great teacher explain simply and thats amazing .

[@vglong5295]

A light just turned on. Thank you!

[@tgaskill]

Great and concise explanation!

[@baileykitchen4365]

Hey, thank you so much for your videos. I'm a first year RT student at Napa Valley College. Our instructors are truly first-rate here. But your videos have still made a big difference in my comprehension & my grades!

[@RespiratoryCoach]

Love it! Thank you! Trust your instructors and the course of success that they have you on. And thanks for watching!

[@applelee1378]

I wish you were my professor.

[@RespiratoryCoach]

I wish you were my student! Thanks for watching.

[@fishingsouls4christceoofgi614]

Your a good man! Much love and respect from Los Angeles California

[@paulbieber7103]

Great video. Thank you.

[@Suzi_P]

Your lectures have always helped me so much. Thank you!

[@RespiratoryCoach]

I'm so glad! Thank you for watching, Suzi!!!

[@ayachitaher]

Great video coach liked the scrubs if I may have a little suggestion before finishing this ABG series it would be nice to have a quiz session with practical problems the same way you did with the asthmatic patient in the previous video you're doing a great job keep it up

[@RespiratoryCoach]

Hey man, thanks for the feedback. I'll throw up a all inclusive ABG quiz to cap off the ABG series. Great suggestion. Thanks for watching and contributing my man.

[@xinminang291]

Thanks for the explanation! I’m from Singapore!

[@xantheanne4668]

Hiii! Thanks for this video! I couldn’t understand mixed acidosis and alkalosis but this made it clearer!!

[@RespiratoryCoach]

Glad it was helpful!

[@shahedelnadjar3144]

Fantastic video

[@amyacquavella-geddes3250]

Can you please make a video on the intro to A lines the equipment involved and how we draw and do ABGs from them, including intro info on the wave forms & balloon pumps, please & thanks 🙏 ?

[@katiuskamallarino5260]

Love the videos, thank you so much!

[@RespiratoryCoach]

Glad you like them!

[@joshuacastruita8052]

So good bro!!! Gracias!

[@RespiratoryCoach]

Thanks, Joshua! I appreciate you watching and commenting!

[@adzcastiri7911]

Precisely Coach...i like it.Hoping you can explain about the autoflow on the mechanical ventilator. God bless.

[@RespiratoryCoach]

Thanks, Adz. Autoflow (not bias flow) is a feature on most mechanical ventilators that allows the vent to adjust insp flow to match that of the patient. For example, you have set a flow of 40 lpm, but your patient is inspiring at a flow of 70 lpm. This will undeniably result in flow hunger and p-v asynchrony. With autoflow, the vent will recognize this desire for additional flow and attempt to match that to improve p-v synchrony and patient comfort. Does that make sense? Thanks for watching and posting this question.

[@adzcastiri7911]

@@RespiratoryCoach thanks a lot coach i do appreciate your time and effort more power to your channel and God bless 🙏

[@russulal-dhuhaibat9135]

Thank you 🌹

[@tabithaphiri9297]

well explained

[@roxyali9815]

Can u plz make avideo about dynamic bilevel mode?

[@domenicafigueroa9230]

Thank you, kind Sir!

[@RespiratoryCoach]

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

[@mistraleyonpamnacteta9275]

Hello coach, can you also teach about Vent initiation, setting and weaning. I know that is big topic but please

[@rishatgazezov9032]

But what if you have metabolic acidosis where actual pCO2 < pCO2 predicted with Winter’s formula? Is that metabolic acidosis with concomitant respiratory alkalosis?

[@RespiratoryCoach]

I follow what you're saying, but don't overthink it. A patient presenting with a metabolic acidosis and a low CO2 is hyperventilating to compensate for the metabolic acidosis. Don't let the vernacular distort your decision making.

[@ishanmewara44]

Nice lecture

[@RespiratoryCoach]

Thank you, Ishan. I appreciate you watching!

[@sniriangksiarlaloo]

Hy hello can you please tell me why in some cases shown in ABG report only show PCO2 value only the rest does not appear

[@animeshdebbarma3852]

From India sir😊

[@RespiratoryCoach]

Hi! Thank you for watching and commenting from India!

[@haleyemerson7179]

Don’t they usually give bicarb during code blues? New grad RN here… not really been in too many codes but I’ve seen a bunch where we’ve given bicarb, so would the bicarb still be low? Just given your scenario where you ask them what the abgs would look like after a code blue… sorry if that’s a stupid question

[@haleyemerson7179]

Im also here to learn… I didn’t mean that in a snarky way. I came to learn about ABGs bc I am a new grad in ICU… I appreciate your video! It was super helpful

[@steves8860]

Years ago, it was very common. But if you give bicarbonate to correct a respiratory acidosis, and then the patient starts ventilating well, then you are going to end up in a metabolic alkalosis.

[@steves8860]

Your lactic acidosis will also start getting better as they ventilate and perfuse better, and then you will have too much bicarbonate

[@steves8860]

​@@haleyemerson7179 Your question got me thinking. Thought you might like this en.m.wikipedia.org/wiki/Intravenous_sodium_bicarbonate