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47 Cards in this Set
- Front
- Back
Left to right shunt in lesions |
Patent ductus arteriosus Arterial septal defect Ventricular septal defect Atrioventricular septal defect |
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Patent ductus arteriosus |
Failure of fetal ductus arteriosus to close completely. Due to decreased prostaglandin. |
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Signs of PDA |
Heart failure which is related to the Legion in the amount of left to right shunting. Continuous murmur. Widened pulse pressure. Bounding pulse. Cardiac enlargement |
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Care for PDA |
Interventions for heart failure. Monitor respiratory status, renal function, and growth. A coil is placed to occlude the ductus. Surgical management |
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Atrial septal defect |
Abnormal opening between the atria. 5 to 10% of cardiac lesions; see more often than girls |
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Signs of atrial septal defects |
Can be asymptomatic depending on size of lesion. Fatigue dyspnea on exertion. Palpitations. Atrial dysrhythmias. Reoccurring respiratory infections. Systolic murmur. Mitral valve regurgitation. Heart failure |
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Care for ASD |
Conservative. Diuretics and digoxin for heart failure. Cardiac catherization. Aspirin. Surgery. |
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Ventricular septal defect |
Abnormal opening between the ventricles 20% of cardiac defect most common type of cardiac defect |
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Signs of ventricular septal defect |
Asymptomatic. Or loud harsh systolic murmur, palpable thrill, diastolic murmur and gallop rhythm may be present. Heart failure |
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Care for VSD |
Conservative 30 to 40% close spontaneously. Diuretics digoxin. Manage heart failure. Cardiac catherization. Occluder device. Surgery. |
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Atrioventricular septal defect |
2% of cardiac defects. Associated with genetic syndromes like Down syndrome. Abnormal endocardial tissue development affecting the atria in ventricular septum and mitral and tricuspid valves |
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Signs of atrioventricular septal defect |
Degrees of heart failure related to size and pressure. Just all of pulmonary flow murmur that develops over a few weeks after birth. Intermittent cyanosis |
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Care for atrioventricular septal defect |
Symptomatic treatment of heart failure. ACE inhibitors. Surgery |
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Obstructive or stenotic lesions |
Pulmonary stenosis Aortic stenosis Coarctation of the aorta |
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Pulmonary stenosis |
10% of cardiac defect. Its narrowing an interest in the pulmonary artery at the valves below the valve or above the valve. Develop self may be normal. |
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Signs of pulmonary stenosis |
Asymptomatic signs. Symptomatic children include exercise intolerance. Right sided heart failure. Systolic ejection murmur. Possible probable thrill. Cardiomegaly on radiograph. Cyanosis in severe cases mostly |
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Care for pulmonary stenosis |
Cardiac observation and antibiotic prophylaxis for children. Interventional catheterization or surgery cardiac catherization. Placement of shunt from a order to pulmonary artery why you shaking Sawyer |
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Aortic stenosis |
Nearing of the interest of the aorta |
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Signs of aortic stenosis |
Exercise intolerance ECG abnormalities with exercise. Cardiomegaly. Systolic ejection murmur with thrill or click. Sudden death with stenosis. Severe failure decrease cardiac output. Chest pain dizzy syncope |
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Care for Aortic stenosis |
Follow up. Cardiac catherization. Aortic balloon. Valve replacement. |
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Sign on equations with decreased pulmonary blood flow |
Tetrology of Fallot |
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Tetralogy of Fallot |
Cyanotic lesion. Resulting from malignant of the ventricular septum during fetal development. Ventricular septal defect. Right ventricular outflow outflow tract obstruction |
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Signs of the trilogy of Fallot |
Obstructive pulmonary blood flow which causes right-to-left shunting. Cyanosis extreme fatigue hyper synodic episodes Chronicle hypoxemia. Horse systolic murmur with a possible thrill. Boots shaped hearts. |
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Care for to tetralogy of Fallot |
APG II. Treat hyper sonic episodes and anemia. Repair the defects during infancy 4 months after 8. Palliative shunt procedures. |
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Acquired heart disease |
Anything acquired that was not present at birth such as infected endocarditis. Rheumatic fever. Kawasaki disease |
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Infective endocarditis |
Infection of valves and inner lining of heart |
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Causes of infective endocarditis |
Bad oral hygiene, immusuppression, nosocomial infections, - trilogy of fallot, ventricular defect |
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Symptoms of ineffective |
Fever malaise increase spleen backache murmur CHF |
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Care for endocarditis |
Prophylactic antibiotic, oral health, IV long term. Planned for boredom and depression. Observe for side effects of antibiotics like superinfection thrush and CDs |
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What to monitor with endocarditis |
Ineffective tissue perfusion. Acute pain. Fever. Neurologic status vital signs murmur. Temperature. |
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Nursing diagnosis for endocarditis |
Ineffective tissue perfusion. Hyperthermia. Acute pain. Sufficient |
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Rheumatic fever |
Diffuse implement Tori condition most probably of autoimmune or origin. Primarily of the heart joints subcutaneous tissues brain and blood vessels. Most common complications rheumatic heart disease. Can result in permanent damage to cardiac valves most commonly mitral and aortic |
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Cause of rheumatic fever |
Autoimmune reaction to group a beta hemolytic strep usually 2 to 6 weeks after an untreated infection of the upper respiratory tract |
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Manifestations of rheumatic fever |
Chorea Fever Carditis Abdominal pain Erythema marginatum Subcutaneous nodules Polyarthritis |
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Chorea |
Involuntary movements of extremities and face effects |
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Fever |
History of sore throat |
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Carditis |
Inflammation of all parts of the heart primarily mitral valve |
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Erythema marginatum |
Red skin lesions starting on trunk in spreading peripherally |
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Subcutaneous nodules |
Small non tender swellings often over the joints |
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Polyarthritis |
Tender painful joints usually elbows knees ankles and wrists |
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Nursing care for rheumatic fever |
Bed rest during acute phase. Determine if there was an unexplained sore throat last two months. Observe for signs of hardness tachycardia heart murmur friction rub. Shortness of breath or redeem of the face. Abdomen your ankles. Tenderloin |
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Nursing diagnosis for rheumatic fever |
Deficit in knowledge. Ineffective coping. Acute pain. Whisper injury |
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Kawasaki disease |
Generalized vasculitis. Causes unknown causes coronary artery aneurysm if untreated it is the lymph node syndrome |
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Signs and symptoms of the Kawasaki disease |
First phase is a high fever for longer than 5 days. Bilateral the non purulent conjunctivitis. Scissors and cracking of the lips with strawberry tongue. Swelling of the hands and feet rhythm of the palms and soles in a rash. Enlarged cervical lymph nodes. Tachycardia. The second stage the fever disappears by the 11th day and most symptoms resolve there is Aaron ability anorexia discrimination of the fingers and toes arthritis including heart failure and coronary aneurysms. The final stage most symptoms disappear and the ESR returns to normal Beau's lines may appear on the child's nails |
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Care for Kawasaki disease |
Prevent coronary artery damage. High dose of IVIG with aspirin. |
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What to monitor with Kawasaki disease |
Change in polls. Respiration. Blood pressure and color along with shortness of breath chest pain decreased activity could just cardiac complications eyes examined eyes mouth and skins in the joints. |
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Nursing diagnosis for Kawasaki disease |
Respirat efficient fluid volume related to fever. Acute pain related to joint. They are related to changes. |