Ventricular septal defect

While providing care for Sari a number of clinical management issues arise. Firstly, Sari’s pregnancy was conceived through intrauterine insemination (IUI), risks associated with artificial reproductive technologies were likely reviewed with Sari and Jane prior to intervention . It is important that the midwife be aware of potential risks associated with this method of conception and able to review these with Sari and Jane if they have questions. IUI can include increased risks of preterm birth,…

coronary artery atherosclerosis. Coronary dilation will further enhance the oxygen supply/demand ratio and diminish the anginal pain. Systemic arterial dilation reduces afterload, which can enhance cardiac output while at the same time reducing ventricular wall stress and oxygen demand. Nitrogylycrin should be intitailly infuses at a rate 5mcg/min and then tritrated until and adequate response has been achieved (i.e. titrated every 5 minutes in 10-20 mcg/min increments with a max infusion rate…

wasn’t sure what he was looking at. The doctor sent out images of Ethan’s heart to cardiologists in 12 different states and finally got the answer. At six months old Ethan was diagnosed with dextro-transposition of the two great arteries with ventricular septal defect; however, it was determined he had been born with these. Upon Ethan being diagnosed Val did not feel any type of relief. She felt angry because of the unnecessarily late diagnosis. While Val was telling me the story of Ethan’s…