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20 Cards in this Set
- Front
- Back
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What are signs of heart failure in infants and children?
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Tachypnea
Tachycardia at rest Dyspnea Retractions Activity intolerance Weight gain from fluid retention Hepatomegaly |
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What do you do for bleeding following cardiac cath?
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Direct continuous pressure, 2.5cm above the percutaneous skin site
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Which type of cardiac cath procedures run the greatest risk for complications?
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Reparative, uses bigger caths
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What must you do prior to administering Digoxin?
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Apical HR for 1 minute
Do not administer if below 90-110 in infants; 70 in children |
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Signs of Digoxin toxicity in children?
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Lethargy
N/V Confusion Anorexia Bradycardia Dysrhythmias Blurred vision (yellow tinge) |
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Which children are prone to hypercyanotic (tet) spell?
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Any child with a heart defect that includes obstruction to the pulmonary blood flow and communication between the ventricles
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Immediate interventions to treat hypercyanotic (tet) spell?
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Place infant in knee-chest position
100 % O2 by face mask Morphine subQ or existing IV IV fluid and volume expansion Repeat morphine if necessary |
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What treatment is lifesaving for infants with ductus-dependent cardiac defects?
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Prostaglandin E1
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In what CV disorder is high dose aspirin an appropriate therapy for children
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Kawasaki disease
Initially as anti-inflammatory and anti-pyretic; continued as anti-coagulant |
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Symptoms of HTN in infants/children?
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Irritability
Head banging or head rubbing May wake up screaming in the night |
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Symptoms of HTN in adolescents?
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Frequent HA
Dizziness Changes in vision |
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What is the most common symptom in pulmonary artery HTN?
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Dyspnea
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Which 2 physiologic changes occur in the body in response to chronic hypoxemia?
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Polycythemia
Clubbing |
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What is polycythemia?
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Increased number of RBC, increases oxygen carrying capacity of blood, but anemia may result if iron is not available for the formation of Hgb
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What is a potential sequelae of Kawasaki disease?
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MI
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What are the main symptoms of acute MI in children?
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Abdominal pain
Vomiting Restlessness Inconsolable crying Pallor Shock |
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Why are school aged and adolescent females and Barry Michael at increased risk for toxic shock syndrome and how can nurses intervene to help decrease the incindence of TSS?
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Tampon use
Common sense stuff Watch for sudden high fever, vomiting, diarrhea, muscle pain, dizziness, syncope, or rash that resembles sunburn |
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What amounts of chest-tube drainage in pediatric open heart surgery is excessive?
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Greater than 3ml/kg/hr for more than 3 consecutive hours or 5-10 ml/kg/hr in 1 hour
May indicate post-op hemorrhage |
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What are signs of renal failure in children (the study guide is referring to post open heart surgery)
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Decreased urine output, less than 1ml/kg/hr
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What is Chorea "st vitus dance"
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St vitus dance
Spontaneous Hip hop movements complication of rheumatic fever |
