Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
15 Cards in this Set
- Front
- Back
|
congestive heart failure(CHF)- pediatrics- description
|
1.inability of the heart to pump sufficiently to meet metabolic needs.
2. most commonly caused by congenital heart defects 3. goal of tx. (improve cardiac function, remove accumulated sodium, decrease cardiac demands,improve tissue oxygenation, < o2 consumption) |
|
|
congestive heart failure- left side s/s
|
crackles, wheezes,cough
dyspnea, nasal flaring, orthopnea grunting, head bobbing (infants) cyanosis, retractions, tachypnea |
|
|
congestive heart failure (CHF) right sided s/s
|
ascites,hepatosplenomegaly
jugular vein distenstion oliguria peripheral edema, especially dependent and periorbital edema weight gain |
|
|
CHF- interventions
|
1. adm. digoxin(Lanoxin) mon for bradycardia and vomiting
2. check parameters pulse < 90 bpm (INFANTS) <70bpm(older children) 3. infants rarely receive more than 1ml(50mcg, 0.05mg) of digoxin |
|
|
defects with increased pulmonary blood flow
|
atrial septal defect
ventricular septal defect atrioventricular canal defect patent ductus arteriosus |
|
|
decreased cardiac output s/s
|
1. decreased peripheral pulses
2. excercise intolerance 3. feeding difficulties 4. hypotension 5. irratibilty, restlessness, lethargy 6. oliguria, pale cool extremities, tachycardia |
|
|
types of obstructive defects
|
1.coarctation of the aorta
2. aortic stenosis 3. pulmonary stenosis |
|
|
what is stenosis
|
anatomic narrowing
|
|
|
coarctation of the aorta-
|
localized narrowing of the aortic arch/descending aorta. freq. near ductus arteriosus.
1.high BP, bounding arm pulses, weak/absent femoral pulses, cool LE. headaches, dizziness, fainting, epistaxis. |
|
|
aortic stenosis
|
narrowing/stricture of aortic valve that causes resistance in bld. flow in left vent., < cardiac output, left vent. hypertrophy, pulm. vascular congestion.
|
|
|
types of defects w decreased pulmonary blood flow- description
|
tetralogy of fallot-(VSD, PS, overriding aorta, right ventri. hypert.) I
tricuspid artresia- failure of the tricuspid valve to develop. no comm between right atrium to right ventricle |
|
|
types of mixed defects
|
1. transp. of the great arteries, or transporation of the great vessels
2. total anomalous pulmonary venous connection 3. truncus arteriosus 4. hypoplastic left heart syndrome |
|
|
mixed defects- description
|
fully saturated systemic blood flow mixes w the desaturated blood flow, which causes desaturation of the systemic blood flow.
2. Pulm congestion occurs and cardiac output decreases |
|
|
what is rheumatic fever?
|
an inflammatory autoimmune disease that affects the connective tissues and or blood vessels of the central nervous system.
|
|
|
rheumatic fever s/s
|
fever, abd. pain, subcutaneous nodules, small nontender swelling over joints, polyarthritis, carditis, chorea
|
