Prenatal Substance Abuse/commonly used substances
This legal substance is one of the leading, preventable causes of low birth weight and preterm birth during pregnancy.
What is cigarettes/tobacco?
Most common congenital heart defect characterized by a hole in the wall separating the hearts lower chambers.
What is Ventricular Septal Defect?
Which loop diuretic is a first line medication used to reduce vascular pulmonary congestion in infants?
What is Furosemide (Lasix)?
How is a VSD determined?
Echocardiogram
"I understand I will have bad days and that my healing is not linear."
Acceptance
Most common complication of cocaine use during pregnancy.
What is the most the most concerning, chronic outcome associated with VSD?
What is Right sided Heart Failure?
This nutritional intervention is used to support infants increased metabolic demand without overloading their circulatory system with excess water.
What is High Calorie formula (24-30kcal)?
What assessment findings indicate VSD?
(Get at least 3 right to get the points!)
tachypnea, tachycardia, heart murmur, hypoxia, poor feeding/failure to thrive.
"Why did my body fail? Why did it not do what is was supposed to do?!"
Anger
This substance should be limited to 100-200mg daily. Excessive use can cause hypertension, tachycardia, and increased FHR.
What is caffeine?
What major symptom may a newborn with a large VSD display?
What is tachypnea?
What position is used after feeding to reduce diaphragmatic pressure and promote lung expansion?
What is Semi-Fowlers? (30-45 degrees)
What access site is most commonly used for heart catheterization in infants?
Groin site (femoral vein)
"I dont know how to move on from the loss of my baby; I just sleep and cry all day, and I cant eat anything."
Depression
FAS is caused by consuming what during pregnancy? Findings include low birth weight, developmental delays, thin upper lip/smooth philtrum, small eyes
What is Alcohol?
What 2 procedures are necessary in cases when a VSD does not close on its own?
What is open heart surgery or heart catheterization?
This medication (class: positive inotrope) improves myocardial contractility and reduces stress on the heart, improving cardiac output in cases of developing CHF. Contraindicated for infant bradycardia!
Digoxin
If a heart catheterization is needed to diagnose a small VSD, what is contrast dye used for?
To visualize the path of blood flow through the heart showing the size, location, and shape of any holes.
"My baby is not dead; you guys have him. Give him back to me!"
Denial
(Guess at least 4)
What is the pathway of oxygenated blood flow through a heart with VSD?
What is....
1. Left Ventricle
2. Right Ventricle
3. Pulmonary artery/Lungs
1. What non-invasive, daily measurement, is used to determine fluid loss or retention in infants with congenital heart defects?
2. Weighing diapers: 1g = ?
1. What is Daily Weights?
2. What is 1mL?
During a diagnostic heart cath. for suspected VSD, where is pressure and blood O2 saturation measured?
Right Ventricle
"If I had just gone to the doctor sooner, I wouldn't have lost my baby...."
Bargaining