Pediatric Congenital Heart Conditions Essay

Great Essays
Pediatric Congenital Heart Conditions There are several pediatric congenital heart conditions that can occur and it is important as practitioners that each can be recognized as not to delay treatment. This article speaks of three different types of congenital heart conditions; the presentation, exam, diagnosis, treatment, and any long term effects for the patients.
Patent Ductus Arteriosus In utero the ductus arteriosus connects the aorta and pulmonary artery. It allows blood to flow from the pulmonary artery to the aorta and out to the body without going through the lung due to the fact that the fetus gets oxygenated from the mother (Ellis, 2016). After birth this artery should close in order to prevent the mixing of arterial and venous
…show more content…
Other tests that can be useful but not used for a definitive diagnosis are hemoglobin and hematocrit studies, chest x-ray, magnetic resonance imaging, and electrocardiography.
Treatments
Surgical treatment is required but due to TOF being a progressive disorder the timing of the surgery may be different because of the severity of the anomaly. Currently the trend is to have the surgery before the age of one year old, in which the primary operation is usually performed under cardiopulmonary bypass and are aimed at closing the ventral septal defect, resect the area of infundibular stenosis, and relieve the right ventricular outflow obstruction (Bhimji, 2015).
Long term consequences According to Bhimji (2015), patients with TOF are surviving longer than 15-20 years after their first operation. The major complication after surgery is the development of pulmonary valve regurgitation in which they would require a pulmonary valve replacement. Most patients receive a pericardial homograft and there is no telling how long these valves will last (Bhimji, 2015). These patients also have a risk of endocarditis and will need prophylactic antibiotic for some surgical and all dental procedures for life (Bhimji,

Related Documents

  • Improved Essays

    This method can be used if there are health complications to the mother or baby, or if the mother chooses to use this option instead of a vaginal delivery. “A C-section, in which the baby is removed through an incision made in the abdominal wall and uterus, can be a lifesaving surgery for the mother and child (Ananth & Vintzileos, 2011)” cited from (Crooks and Bauer, 2013: p 37). One of the negatives to a C-section is that recovery time is typically longer for the mother. There are also more health risks due to the fact that doctors are cutting the muscles and performing surgery. According to van der Voet Bij de Vaate, Veersema, Br¨olmann, and Huirne, “In a recent study, 64.5% of patients who underwent cesarean section developed uterine incision diverticulum within 6 to 12 weeks after surgery, which can cause abnormal uterine bleeding” cited from (LI, Tang, Gao, Lin, Han, Zhai, and Zhou, 2016: p 1).…

    • 1133 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    If LV function is not improved, the patient needs to be evaluated for implantable cardioverter defibrillator (ICD) insertion to prevent sudden cardiac death. Patients, especially those with drug-eluting stents, need to be monitored for antiplatelet compliance. Mrs. B will also need to follow up with her primary care provider for ECG, BMP, CBC, hemoglobin A1C, and…

    • 778 Words
    • 4 Pages
    Improved Essays
  • Great Essays

    If a patient is asymptomatic and a cyst is found during a routine pelvic exam, a doctor may suggest to get it removed or to closely monitor the cysts size until removal is necessary. An ovarian dermoid cyst can grow at different rates, it may take particular patients years until the removal of the cyst is necessary. However, removal of ovarian dermoid cysts is the treatment of choice. An ovarian dermoid cyst can become too large and eventually move the ovary, or cause the ovary to twist, this can cut off the blood supply to the ovary and eventually cause necrosis. Ovarian torsions need immediate intervention to prevent necrosis, ultra sounds are primarily used to detect the cyst and torsion.…

    • 1447 Words
    • 6 Pages
    Great Essays
  • Superior Essays

    When the kidneys become diseased and lose their ability to filter, the fluid and waste will accumulate and build up to dangerous levels, causing end-stage kidney disease. If a patient reaches end-stage kidney disease, the best option is receiving a kidney transplant. Due to the fact that one donated kidney can replace two failing ones, people with end-stage kidney disease can receive a compatible kidney from a live donor. If there is no live donor compatible, the patient may be put on a list to receive a kidney from a deceased donor, however the wait may take several years. Just like any surgery, there are risks involved with kidney transplantation.…

    • 1649 Words
    • 7 Pages
    Superior Essays
  • Superior Essays

    Side Effects Of Cancer

    • 1348 Words
    • 5 Pages

    Treatment reactions can be variable from one person to another. Age of the patient, history of medical problems, treatment type and the frequency of treatment are the main factors that influence the side effects of cancer treatment. Most of the side effects will relieve immediately after the treatment, but some may last longer. “The main type of cancer treatment includes surgery, radiation therapy, chemotherapy, immunotherapy, targeted therapy, hormone therapy, and stem cell transplant” (National Cancer Institute, 2015). Pain, infection and discomfort are the most common side effect after the surgery.…

    • 1348 Words
    • 5 Pages
    Superior Essays
  • Superior Essays

    Catheter-associated urinary tract infections (CAUTIs) are problematic for many hospitals. They add up to forty percent of the reported nosocomial infections and are considered the most common (Elpern, 2016). Every year The Joint Commissions produces a goals list in which establishes areas that require improvement within the health care system. In the most current edition of 2016, the article acknowledges this issue and speaks about how we can decrease the number by employing evidence-based practice. The knowledge, skills and attitudes of health care workers are a major contributor to this incline.…

    • 1020 Words
    • 5 Pages
    Superior Essays
  • Improved Essays

    During pregnancy the cardiorespiratory system of the fetus adapts for survival in utero and then changes to an independent postnatal circulatory system. In order to understand the differences in fetal circulation versus postnatal circulation it is important to note that in a fully functioning not pregnant mammal blood circulates in the following way: vena cava, right atrium, tricuspid valve, right ventricle, pulmonary semi lunar valve, pulmonary arteries, lungs, pulmonary veins, left atrium, bicuspid valve, left ventricle, aortic semilunar valve, aorta, systemic circulation, vena cava. Fetal circulation works by using three shunts to direct deoxygenated blood and avoid the not yet fully developed lungs and liver. The patent foramen ovale…

    • 732 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Vete Case Study Essay

    • 1092 Words
    • 5 Pages

    Moreover, one of Mrs. X’s surgeries was an extended right hepatectomy, which can result to an overall defect in hemostasis leading to problems with clotting systems or platelet function (Schwartz & Rote, 2014, p. 1043). Question 2 What are the age-dependent physiologic changes which occur in…

    • 1092 Words
    • 5 Pages
    Improved Essays
  • Superior Essays

    Other components, however, can be added to infant formulas. Owens et. al., (2012) also states that, in rare cases, for example, infants with galactosaemia or primary lactase deficiency, or for any other medical reasons where the mother is unable, or unwilling, to breastfeed, it is important to select a suitable infant formula based on the infant’s individual needs, and medical…

    • 766 Words
    • 4 Pages
    Superior Essays
  • Improved Essays

    Neonatal Care Essay

    • 966 Words
    • 4 Pages

    People who are for it are usually the parents, doctors, and nurses. It 's a doctor 's job to do everything they can to try and keep an individual alive. Doctors often base neonatal care with age and other factors that could have caused the baby to be born premature. There are many other problems that doctors look for to put the infant into the neonatal intensive care unit. Some of these problems are breathing issues, bleeding in the brain, heart conditions, gut and digestive disorders, eye problems, jaundice, anemia, and serious infections.…

    • 966 Words
    • 4 Pages
    Improved Essays