Patent Ductus Arteriosus Case Study

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Pathophysiology
One of the babies I cared for today was born at 33 weeks and was born with a patent ductus arteriosus (PDA). When the baby is in the mother’s uterus, the ductus arteriosus (DA) diverts blood from the pulmonary artery and moves it directly into the aorta, bypassing pulmonary circulation, because the lungs are not functioning and are filled with fluid. The DA opening is possible through the production of prostaglandins in the vessel allowing for it to stay patent (Kim, 2015, p.1). When the fetus is born the DA undergoes a transition, which occurs approximately 15-48 hours after birth and is this when the arteriosus constricts and closes. The blood is no longer shunted from the pulmonary artery to the aorta. Instead, it moves
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(2015, September 16). Patent Ductus Arteriosus (PDA). Retrieved from http://emedicine.medscape.com/article/891096-overview#a5 Schumacher, K. (2016, March 2). Patent ductus arteriosus: MedlinePlus Medical
Encyclopedia. Retrieved March 25, 2016, from https://www.nlm.nih.gov/medlineplus/ency/article/001560.htm van der Lugt, N., Lopriore, E., Bökenkamp, R., Smits-Wintjens, V., Steggerda, S., &
Walther, F. (2012). Repeated courses of ibuprofen are effective in closure of a patent ductus arteriosus. European Journal Of Pediatrics, 171(11), 1673-1677 5p.
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One of the children I was caring for had a mother who would come to the baby when called by the nurse to feed, however she did not seem to have a connection with the child.We discussed ways to bond and care for the child and tried to promote mother to stay at infants bedside when available. I think this was important to see because you could see many educational and referrals that may be necessary prior to the discharge of her infant. I also learned that we do a follow up call approximately one week after discharge to follow up on the infant and see how the family is adjusting. This promotes a safety and the family

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