Umbilical Cord Blood Gases

Specialties Ob/Gyn

Published

Specializes in Ante-Intra-Postpartum, Post Gyne.

I am studying for the subspecialty exam Advanced Fetal Monitoring. Does anyone know of a good book or link on Umbilical Cord Blood Gases?

Yes by Jeffrey Pomerance MD called Interp Umb blood gases the absolute best best

Specializes in Ante-Intra-Postpartum, Post Gyne.
Yes by Jeffrey Pomerance MD called Interp Umb blood gases the absolute best best

Thanks, I was looking at that one but wasn't sure. Most of the reviews were from doctors. You think it is good for nurses then?

Specializes in Nurse Manager, Labor and Delivery.

There is only one or two questions on that exam. If you happen to take Lisa Miller's review course, she does and EXCELLENT job of breaking down gasses and makes it so user friendly.

Specializes in Ante-Intra-Postpartum, Post Gyne.
There is only one or two questions on that exam. If you happen to take Lisa Miller's review course, she does and EXCELLENT job of breaking down gasses and makes it so user friendly.

Thanks! Yes, I am taking her class next month.

I recently took the NCC EFM exam and passed. AWHONN Fetal Monitoring Principles and Practices was enough to help me understand what I needed.

I'm gonna teach you the easiest way I've ever learned---been a labor nurse for 3 years and learned this just last week. All you care about are these numbers- 10--60--12 in regards to

pH--PCo2--HCo3 respectively. If the pH is above 7.10 you don't care about the gas because it's a normal value- you can call it normal and move on with your life. If the pH is below 7.10, you move on to the next two numbers. If the pH is below 7.10 and the PCo2 is above 60, you know there is a respiratory component but you want to rule out mixed acidosis so you need to look at the HCo3. If its below 12, it's normal so you know you have respiratory acidosis. If pH is below 7.10, PCo2 is below 60 but HCo3 is above 12 what do you have? Metabolic acidosis. And finally of pH is below 7.10, PCo2 is above 60 and HCo3 is above 12, you have Mixed acidosis. I hope this helps. You can PM me if you need more clarification.

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