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25 Cards in this Set
- Front
- Back
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3 Fetal Shunts
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Ductus Venosus
Foramen Ovale Ductus Arterisus |
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Defects that increase Pulm Blood flow
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PDA- Patent Ductus Arteriosus
ASD- Atrial Septal Defect VSD- Ventricular Septal Defect ACD |
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Obstructive Defects
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Coarctation of the aorta
Aortic Stenosis\ Pulmonic stenosis |
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Mixed defects
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Transposition of the great vessesl
Trunctus arteriousus Hypoplastic left heart syndrome |
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Defects that decrease pulm blood flow
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Tricuspid Atresia
Tetrology of fallot |
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Assessment of the child with CHF
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Change in energy expenditure
> resp infections cyanotic frail body clubbing squatting to relieve dyspnea tachy edema CP HA leg fatigue abn pulse |
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Interventions: Child with CHF
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Promote O2
Eval and < effort of breathing Promote neergy conservation decrease cardiac work load eval extremities and skin monitor fluid balance adequate nutrition family teaching |
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Comp of increased blood flow
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right to left shunt
caused by the flow of blood from higher pressure in the left ventricle to the lower pressure in the right ventricle |
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Patent Ductus Arteriosus ( def
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failure of the fetal ductus arteriosus to close within the first weeks of life
Higher aortic pressure shunts O2 blood through the ductus arteriosus to the lower pressure pulm artery |
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PDA assessment
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machiniry like murmer over lungs
enlarged heart resp distress wide pulde pressure tachypnea poorly feeds diaphoresis fatigue frequent resp infections |
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PDA tx
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promote periods of rest between feeds
diuretics and digoxin high cal foods fluids status daily weights I & O's cardiac cath coil surgery (w/in 1st yer) Indocin |
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Tetrology of Fallot
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Un O2 venous blood entering the right side of th heart may pass through the VSD to the left ventricle bypassing the lungs or may enter the pulm artery depending on the extent of pulm stenosis
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Coarctation of the aorta
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Results in increased pressure in the head and upper extremities and decreased pressure distal to the defect.
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Tetrology of Fallot
Combinatio of 4 defects |
Pulm stenosis
VSD Overriding of the aorta hypertrophy of the left ventricle |
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Tetrology of Fallot
assessment |
1. cyanotic at birth
2. clubbing 3. reduced ex intolerance 4. loud sys murmer 5. polycythmia 6. dyspnea 7. TET spells 8. endocarditis 9. squatting 10. Cog impairments |
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TET spells
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spasm right ventricular out flow tract as a results of agitation or another adverse event that dramtically decreases pulm blood flow.
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Rheumatic Fever
manifestations |
arthritis
Carditis chorea(jerky movements) erythema marginatum(red painless lesions) |
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Rheumatic fever
dx made by |
Jones criteria
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Kawaski
Def |
Mucocutaneous lymph node syndrome
major cause of aquired heart ds after URIs |
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Kawasaki Ds
Acute phase |
High fever > 5 days
no responce to abx conjunctivitis fissures mucous membraes red tongue rash palms ans soles of feet |
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Kawasaski Ds
Subacute phase |
day 15-25
fevre gone pealing skin irritable anorexia arthralgias CHF, dysrythmias coranary aneurysm |
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Kawasaki ds
convelescent phase |
begins on day 26, ends when ESR returns to normal
all s/s dissapear |
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Kawasaki
Tx |
Administer ASA
Gamma Glob IV |
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Ped Dig admin
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Do not administer if apical HR is below 100
If vomitting, notify MD |
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ABx proph required for
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PDA VSD
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