Heart Murmur Case Study

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The nurse will want to listen to see how loud the heart murmur is. Once she listens she will need to rate the murmur on a scale of 1 to 6, with 6 being the loudest. When listening to the murmur the nurse needs to note on what position on the heart the murmur is located. For example, is it on the back of the heart? She should listen to the pitch of the murmur. It is high, medium or low-pitched. What things affects the sounds. Does moving the infant or laying the infant in a certain position. Next she needs to listen to when the murmur occurs and how long does it last. http://www.mayoclinic.org/diseases-conditions/heart-murmurs/basics/definition/con-20028706 2. The nurse puts in a call to the doctor. What lab studies would the nurse anticipate …show more content…
A chest x-ray will be done to show the heart, lungs and blood vessels. If the heart is enlarged, it should be prevalent on the x-ray. An ECG will be done to record the electrical signs of the heart to help look at the heart rhythm and structure problems. A echocardiogram uses ultrasound waves to show images of the heart structure and function. This test can help show if the heart has any abnormal heart valves. A cardiac catheterization so that the pressure that is in the heart chambers can be measured. During this test they will inject dye into the heart to see the blood flow through the heart, blood vessels and …show more content…
Some of the less common side effects that the nurse should be monitoring for are edema, vomiting, nausea, rash and prolonged bleeding. The nurse needs to monitor for rhinitis, asthma, and urticaria. They should assess the infant for skin rash. If a rash is present, the ibuprofen should be stopped immediately. She respiratory status, heart rate, blood pressure, echocardiogram and heart sounds should be done routinely during therapy.
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9. If undetected and untreated, how might this baby’s condition have progressed? (1 point)
If this is left untreated she could develop high blood pressure in the lungs (pulmonary hypertension). This happens when too much blood circulating through the heart’s main arteries through a patent ductus arteriosus can lead to pulmonary hypertension which can cause permanent lung damage. A patent ductus arteriosus can eventually lead to heart failure. This happens because the heart is enlarged and weakened over time. She could develop heart infection or endocarditis. This happens when there is inflammation of the hearts inner lining. http://www.mayoclinic.org/diseases-conditions/patent-ductus-arteriosus/basics/complications/con-20028530 10. If Baby Monica had been very premature what additional problems might the baby develop as a result the patent ductus arteriosus of? (1

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