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Fetal Monitoring and Umbilical Cord Gases

Fetal Monitoring and Umbilical Cord Gases : What s the Secret?Patricia A. Heale, DNP, RNC-OB, C-EFM The learner will be able to describe the process for Umbilical cord blood collection. define the normal acid -base parameters of Umbilical cord blood Gases . discuss the clinical value of determining acid -base Low levels of oxygen in the tissuesWhat is Hypoxia? Acidemia state of low blood pH Acidosis the process of becoming acidemicAcidemia & Acidosis Birth asphyxiaoccurs when a baby doesn't receive enough oxygen before, during or just after birth Hypoxia, hypercapnia, and respiratory and/or metabolic acidemiaWhat is Asphyxia?

definitions until 1997/2008 Poor reliability for FHR interpretation ... buffering system Bicarbonate The base excess is defined as the ... produces lactic acid as a byproduct When lactic acid exceeds buffering capacity the result is metabolic acidemia Secondary apnea

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  System, Acid, 2008, Lactic, Lactic acid

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