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;
29 Cards in this Set
- Front
- Back
|
deoxygenated blood that is NOT mixed in the systemic circulation...L to R shunt?
|
Acyanotic
|
|
|
deoxygenated blood that IS mixed in the systemic circulation...R to L shunt?
|
Cyanotic
|
|
|
Most dangerous and common physical consequence of CHD?
|
CHF
|
|
|
3 Acyanotic defects?...
|
1. Atrial Septal Defect
2. Ventricular Septal Defect 3. Patent Ductus Arterious |
|
|
3 Obstructions of the Heart?....
|
1. Pulmonic Stenosis
2. Aortic Stenosis 3. Coarctation of the Aorta |
|
|
4 Cyanotic defects?...
|
1. Tetralogy of Fallot
2. Transposition of Great Vessels 3. Tricuspic Atresia 4. Truncus Arteriosus |
|
|
Acyanotic defect with a L to R shunt with a systolic murmur that has a widely split second heart sound?
EKG shows- diastolic overload at R atrium |
Atrial Septal Defect
|
|
|
Most common cardiac defect, causes R atrial and R ventricular hypertrophy.
Harsh, loud or blowing left parasternal pansystolic murmur may be heard with a thrill is what defect? |
Ventricular Septal Defect
|
|
|
S&S: dyspnea, tachypnea slow physical development, feeding difficulties, frequent pulmonary infections and mild cyanosis when infant cries....what defect am I?
|
Ventricular Septal Defect
|
|
|
Why does a child with VSD need antibiotics before and invasive procedure?
|
Risk of infective Endocarditis
|
|
|
Increased blood flow through the lungs results in....?
|
Pulmonary HTN
|
|
|
Classic machinery type murmur...?
|
Patent Ductus Arterious
|
|
|
S&S of a PDA....?
|
Dyspnea on exertion, easy fatigability, physical under development, increased infections, increased H.R. (>150), gallop rhythm, bounding pulses with wide systemic pulse pressure.
|
|
|
When does CHF occur with PDA?
|
early in preterm infants and at 6 to 12 weeks in full term infant.
|
|
|
Medical management of a child with PDA...?
|
* supportive fluid restriction
* diuretics * digoxin |
|
|
Surgical management of a child with PDA...?
|
transection or ligation of the ductus (usually done at 6 months)
|
|
|
Pharmacological management of a child with PDA...?
|
indomethacin (indocin) -inhibits protaglandin synthesis (closes off the ductus) improvement occurs within 12 to 18 hours.
|
|
|
movement is restricted, passage of blood is OBSTRUCTED from the RIGHT ventricle which results in an increased systolic pressure and hypertrophy of the RIGHT ventricle...which OBSTRUCTION am I?
|
Pulmonic Stenosis
|
|
|
In general children are cyanotic with a loud PULMONARY systolic ejection murmur...which obstruction am I?
|
Pulmonic Stenosis
|
|
|
Common S&S of Aortic Stenosis?
|
Longer fatigue, fainting, episodes of pulmonary edema.
WITH AGE...faint peripheral pulses and anginal pain. |
|
|
Death after sudden exertion because of decreased blood flow to the heart results from?
|
Aortic Stenosis
|
|
|
Coarse systolic ejection murmur with a thrill radiating to neck and down left sternal border...
|
Aortic Stenosis
|
|
|
A localized malformation caused by a deformity of the aorta that results in the narrowing of the lumen of the vessel is?
|
Coarctation of the Aorta
|
|
|
B/P is higher than norm in the upper part of the body from coarctation of the aorta resulting in?
|
headache, dizziness, fainting, epistasis, and later CVA
|
|
|
B/P is decreased in lower parts of the body from coarctation of the aorta resulting in?
|
absent or diminished femoral pulses, legs cooler than arms, and muscle cramps with exercise.
|
|
|
To define Anastomosis is to...
|
CONNECT
|
|
|
1. obstruction to right ventricular out flow = pulmonary stenosis
2. ventricular septal defect 3. overriding the aorta 4. right ventricular hypertrophy These are the 4 anomalies of what defect? |
Tetalogy of Fallot
|
|
|
in order for blood to get out into the systemic circulation it needs to flow through the VSD into the aorta...this is a result of....?
|
Pulmonary Stenosis = Tetralogy of Fallot
|
|
|
Having a PDA with the 4 anomalies = increased blood flow and less...?
|
Cyanosis
|
