Journaling for memorizing and learning

What is a fetal heart rate?

The range of FHR that excludes periodic and episodic patterns: To get a baseline, one must take it over 10 minutes Tachy: over 160 Brady: under 110

8 reasons for a new born to have Tachycardia

1. Early fetal hypoxia 2. Maternal Fever (common) 3. Amionitis ? Inflammation resulting from infection of the amniotic sac 4. Beta-sympathetic drugs? Drugs used to slow down labor 5. Endogenous epinephrine (anxiety) 6. Fetal dysrhythmias (SVT) 7. Fetal Anemia 8. Maternal hyperthyroidism

When is Tachycardia a danger?

Benign if variability or in absence of decelerations.

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Dangerous if no variability or with declelerations Short periods of SVT are usually of no clinical significance: Supraventricular tachycardia (SVT) is an abnormal fast heart rhythm that starts in the upper chambers, or the atria, of the heart

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Longer periods of SVT have been associated with cardiac failure, nonimune hydrops Fetalis? ??? non-immune - the most common type; can result when diseases or complications interfere with the baby's ability to manage fluid And fetal death

Interventions when baby is Tachy 5 of em

1. Antipyretics for fever of mom 2. Change mom s position 3. Hydrate mom if not contraindicated 4. O2 via mask at 8-12 l/min. 5. SVT: Digoxin, Verapamil, Inderal

What are the causes of Bradycardia? 9 of them

1. Late fetal hypoxia 2. Beta-adrenergic blockers 3. Anesthetics 4. Hypo mom 5. Umbilis is compressed in mom 6. Fetal dysrhythmias (heart block) Mom with Lupus 7. Hypothermia 8. Prolonged Maternal hypoglycemis from mom 9. Local Anesthesia in fetal circulation

When if Brady dangerous?

1. Is variability and absence of decerlations, it is usually ok 2. If no variability or decelerations it is very dangerous 3. Poor fetal outcome if bradycardia caused by hypoxia and acidosis