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13 Cards in this Set

  • Front
  • Back
Cardiovascular Dysfunction
Divided into 2 major categories

1
Congenital Heart Disease •Acquired
Cardiac Disorders
Congenital Heart Disease (CHD)

2
Incidence: 4-10/1000 live births
Associated Factors:
Maternal rubella during pregnancy
Maternal alcoholism
Maternal age > 40
Maternal type 1 diabetes
Congenital Heart Disease (CHD) cont.

3
Increased of CHD:
Sibling with CHD
Parent with CHD
Chromosomal Alteration - Trisomy 21
Other non-cardiac anomalies
Classifications of Defects

4
Historically: Cyanotic and Acyanotic
Current: Hemodynamic Characteristics
Increased pulmonary blood flow
Decreased pulmonary blood flow
Obstruction to blood flow out of the heart
Mixed blood flow
Defects with Increased Pulmonary Blood Flow

5
ASD, VSD, and PDA
Intracardiac Communication
Along Sep turn
Betw een Great Arteries
Obstructive Defects

6
Blood exiting the heart encounters a narrowing or "stenosis" ■ Valvular
Subvalvular
Supravalvular
Coarctation of the Aorta
Aortic/Pulmonic Stenosis
Defects with Decreased Pulmonary Blood Flow

7
Tetralogy of Fallot, Tricuspid Atresia
Obstruction of pulmonary blood flow
Anatomical Defect - ASD or VSD
Mixed Defects

8
Transposition of the Great Arteries
Truncus Arteriosus
Survival depends on mixing of blood from the pulmonary and systemic circulations within the heart chambers
Congestive Heart Failure

9
Heart cannot pump an adequate amount to meet metabolic needs
Right-sided failure
Left-sided failure
Management

10
Goals:
Improve cardiac function
Remove accumulated fluid
Decrease cardiac dema nds
Improve oxygenation, decrease consumption
How do we do that?

11
Digoxin
ACE Inhibitors - Capoten, Vasotec Diuretics - Lasix, Aldactone Bed rest, oxygen, sedation
Nursing Care

12
Help with Adjustment; age appropriate
Educate; age appropriate Help with Coping
Prepare Family for Surgery
Acquired Cardiovascular Disorders

13
Bacterial Infective Endocarditis Rheumatic Fever Cardiac Dysrhythmias Cardiac Myopathy Kawaski Disease