Dr Ishwar Gilada

India's 1st doctor in HIV Care, Infectious Diseases expert;
Sec General-PHO& OMAG;President Emeritus, AIDS Society of India; Governing Council,Intl AIDS Society

[Association of International Doctors. (India). @int_doctors]

Dr. Abhishek Shukla (Geriatrician) explained about ABG (Arterial Blood Gas Analysis)

Student: Sir, I am a https://t.co/jLND7YizOg. Nursing second-year student. I often see ICU patients undergoing ABG tests. A strip comes out, and doctors discuss acidosis, alkalosis, CO₂, and oxygen levels, but honestly, I still don’t understand how to read it. Why is ABG done so frequently, and how can I learn to interpret it?

Dr. Abhishek Shukla: Very important question, Riya. ABG stands for Arterial Blood Gas Analysis. It helps us quickly understand what is happening inside a critically ill patient’s body. If a patient is unconscious, drowsy, breathless, or deteriorating, ABG tells us whether the problem is due to oxygen, carbon dioxide, acid-base imbalance, or severe infection.

It requires only 0.5 ml of arterial blood, usually taken from the radial artery, and the result comes within one minute.

The first thing to check is pH. Normal pH is 7.35–7.45. If it is below 7.35, it means acidosis; above 7.45 means alkalosis. Severe acidosis can become life-threatening.

Next is pCO₂ (35–45 mmHg). If it rises very high, like 90, it means the patient is retaining carbon dioxide. This can lead to unconsciousness and is called Type 2 Respiratory Failure.

Then check pO₂, which tells us about oxygen. If oxygen is low while CO₂ is normal, it is called Type 1 Respiratory Failure.

After this, review electrolytes—especially sodium and potassium. Low sodium can cause confusion, while high potassium can disturb the heartbeat.

Finally, look at lactate, glucose, and creatinine. High lactate may suggest sepsis, and high creatinine may indicate kidney failure.

So always remember the ABG rule: pH first, then CO₂, then oxygen, and finally electrolytes. #ABG #ABGTest #ArterialBloodGas #MedEd #ClinicalSkills#ABGInterpretation #AcidBaseBalance #BloodGasAnalysis #NursingStudent #NurseLife #NursingNotes #AIIMSNORCET #mednotes #drabhishekshukla #geriatriccare

[CNS @cns_health]

✅Join us on 3rd July #AIDS2026 Affiliated Independent Event

👉 #RethinkRebuildRise ★ #PutPeopleFirst to deliver on #endAIDS & #endTB targets in next 54 months👈

@DrGilada GC @IASociety is among ~50 speakers from ~25 countries 🌐

JOIN us!

Register👇
https://t.co/f1jsJWIcwM

[Manoj Bhagchandani @ManojBhagchand1]

Someone special was likely to use the bridge probably

[Dr Ishwar Gilada @drgilada]

@AshwiniBhide How beautiful will our city be if this becomes a routine for all the areas?
And we can proudly and instantly say #IloveMumbai!

[Dr Ishwar Gilada @drgilada]

A demo of how the proof of cleanliness is created at @mybmcWardD @mybmc Around 15 cleaning staff on a stretch of small road at Mumbai Central to Tardeo bridge.

[Dr Ishwar Gilada @drgilada]

A demo of how the proof of cleanliness is created at @mybmcWardD @mybmc Around 15 cleaning staff on a stretch of small road at Mumbai Central to Tardeo bridge.

[Dr Ishwar Gilada @drgilada]

A great initiative by @CPMumbaiPolice

[Commissioner of Police, Greater Mumbai @CPMumbaiPolice]

🔸Dear Mumbaikars,

You can meet me at the @MumbaiPolice Headquarter every Tuesday at 3:30 PM to share your queries, concerns, and grievances.

No prior appointment is required.
Resolving your concerns is our primary duty.

🔸प्रिय मुंबईकर,

दर मंगळवारी दुपारी ३.३० वाजता @MumbaiPolice मुख्यालयास माझी भेट घेऊन तुमच्या शंका, समस्या आणि तक्रारी निसंकोचपणे माझ्याकडे व्यक्त करू शकता.

या भेटीसाठी तुम्हाला कोणत्याही पूर्वपरवानगीची आवश्यकता नाही. तुमच्या समस्यांचे निरसन करणे आमचे प्राथमिक कर्तव्य आहे.

#MeetCPOnTuesday
#MumbaiPolice4All

[Anupam Kher @AnupamPKher]

ROAD TRIP and Driver Dattatrey’s words! 😍
Yesterday, I travelled by road from Shirdi to Nagpur on the Hriday Samrat Balasaheb Thackeray Maharashtra Samruddhi Mahamarg.😍
What an amazing experience!
The smooth roads, the efficiency, the ease of travel, and the time saved made me feel as if distances in India are shrinking and possibilities are expanding.👏
Progress doesn’t always announce itself with great fanfare. Sometimes it is experienced quietly, through a comfortable journey, reaching your destination on time, and realizing how much has changed around you.
I thoroughly enjoyed the drive. It made me feel hopeful, proud, and excited about what lies ahead.
India is changing. And it is wonderful to witness it.
Jai Ho! 🇮🇳
The only thing badly needed is food outlets! 🥹

[Anuja Jaisswal @AnujaJaiswalTOI]

With products flooding the market with promises of being “natural”, “healthy”, “heart-friendly” and “no added sugar”, food regulator #FSSAI has turned its attention to the claims behind the labels, flagging several food and nutraceutical products for potentially misleading branding, labelling and advertising. The move comes days after the regulator questioned terms such as “#Healthy”, “#Organic” and “#ZeroMaida”, signalling closer scrutiny of the health and nutrition claims increasingly used to sell foods and supplements. @fssaiindia @MoHFW_INDIA @timesofindia
@drmohanv

[Dr Ishwar Gilada @drgilada]

@NITIAayog
@ICMRDELHI
@PTI_News
@CNNnews18
@republic
@TimesNow
@the_hindu
@ndtv
@WIONew
@htTweets
@JagranNews
@aajtak
@abplive
@IndiaToday
@AP
@AFP
@Reuters
@KavitaDatt
@eshanwithabeard
@MalathyIyerTOI
@SharmilaGanesan
@DrTedros
@WHO
@cns_health

[Dr Ishwar Gilada @drgilada]

Excellent editorial by
@TOIEditor in @toi is a wakeup call for the @PMOIndia @MoHFW_INDIA
@JPNadda @CDSCO_INDIA_INF
High time the GoI tightens grip on abuse of medicines that is responsible for #AMR and other harms.
TOI Edit Page: Coughing It Up Wrong  https://t.co/eGyX9GxH1I

[Dr Ishwar Gilada @drgilada]

Excellent editorial by
@TOIEditor in @toi is a wakeup call for the @PMOIndia @MoHFW_INDIA
@JPNadda @CDSCO_INDIA_INF
High time the GoI tightens grip on abuse of medicines that is responsible for #AMR and other harms.
TOI Edit Page: Coughing It Up Wrong  https://t.co/eGyX9GxH1I

[Dr Ishwar Gilada @drgilada]

This is nothing but footballing the issue! @MumbaiPolice and @DGPMaharashtra

[KavitaM @ClownishITV]

@drgilada @MumbaiPolice @DGPMaharashtra @MahaCyber1 Haven't understood why we need to go to a police station to report a cyber crime. What is the purpose of a Cyber crime department?
@CMOMaharashtra this policy deters people from complaining. As a citizen we report fraud calls online and they should be acted upon online.

[Dr Ishwar Gilada @drgilada]

Dear @MumbaiPolice why do you expect the senior citizens to go through tedious processes? Probably, you know very well that it's not easy to lodge complaints at police stations.
Most crimes including Cyber crimes perpetuate due to inefficiency of #Police.

[मुंबई पोलीस Mumbai Police @MumbaiPolice]

@drgilada Sir, kindly lodge an official complaint at your nearest Police Station for necessary action.

[Dr Ishwar Gilada @drgilada]

Often people say, the government departments are hard nuts to crack.
@CMOMaharashtra
@maharashtra
@MahaDGIPR
@maharevenue

Why is there no response?
For inefficiency of your MahaGST dept, you are taxing people with fine and that is unjust.
@Dev_Fadnavis
can you pl look into it?

[Dr Ishwar Gilada @drgilada]

It's unfortunate that, #mahagst site started working since yesterday.
However, it started charging a late fee of 1000/- for PTRC Return filing.
This is unjust. For their inefficiencies why should the public be charged?
@CMOMaharashtra
@maharashtra
@MahaDGIPR
@maharevenue

[मुंबई पोलीस Mumbai Police @MumbaiPolice]

@drgilada Request you to report the matter at your nearest police station for necessary action.

[Western Railway @WesternRly]

@drgilada @indianrailway__ Kindly intervene. @drmbct

[Hemant Techie @Hemant_ITPro]

@WesternRly @drgilada @indianrailway__ @drmbct Kindly have Pet care spots as per SC guidelines 🙄

[DRM - Mumbai Central, WR @drmbct]

@WesternRly @drgilada @indianrailway__ Your feedback has been acknowledged. The issue has been notified to the concerned team for corrective measures.

[Dr Ishwar Gilada @drgilada]

In the scorching heat in this extended summer, who doesn't like Air conditioning? This stray dog can't be an exception!
@peta

[Dr Ishwar Gilada @drgilada]

A stray dog inside a western railway Virar-Chuchgate Ac Local train
@WesternRly @indianrailway__

[Dr Ishwar Gilada @drgilada]

Beware this no 9097732801 is a person doing frauds.
This person first used a pic of my daughter and son-in-law and changed to a pic of someone else, then changed the name.
@MumbaiPolice
@DGPMaharashtra
@MahaCyber1

[Dr Ishwar Gilada @drgilada]

A stray dog inside a western railway Virar-Chuchgate Ac Local train
@WesternRly @indianrailway__