Fetal VS Newborn Circulation
This event causes the lungs to inflate, reduces pulmonary resistance and initiates pressure shifts of newborn circulation.
What is the first breath?
This is true of most SMALL PDAs.
What is small PDAs usually close on their own?
The time period strict bedrest is necessary for after the procedure.
What is 4 to 8 hours?
The nurse would not administer Digoxin if the pulse is below ____ for an infant or ____ for an adolescent.
What are 90 bmp and 60 bpm. ?
Children with _____ are at a much higher risk for infective endocarditis.
Bonus points for more specific answers.
What is cardiac history?
Bonus: open heart surgery, prosthetic heart valve, congenital heart defect (PDA, VSD), dental procedure without prophylactic antibiotics, central lines(IV drug use), valve damage.
This fetal structure is an opening between atria that allows blood to flow from the right atrium to the left atrium, bypassing the non-functioning lungs.
What is the foramen ovale?
This is the main thing that differentiates Tetralogy of Fallot from VDS, PDA and ASD.
What is TOF involves DECREASED pulmonary blood flow, while the others are INCREASED pulmonary blood flow. ?
This is the type of dressing used after the procedure and how long it usually stays on for.
What is a pressure dressing and 24 hours (can take it off the next day) ?
Use a simple adhesive bandage (band-aid) or dry sterile dressing after removing pressure dressing.
This is the medication often used in PDA(Patent Ductus Arteriosus) to help close the ductus.
What is Indomethacin?
Children at risk for infective endocarditis should receive prophylactic antibiotics prior to this event.
What is an invasive dental procedure?
In a healthy child, pressure becomes dominant in this chamber.
What is the left ventricle?
When inspecting an infant with congenital heart defect for edema (fluid retention) the nurse must assess this specific area first.
What is the face (periorbital area)?
The nurse should check and mark these prior to procedure.
What are peripheral pulses?
Book mentions the pedal pulse especially.
This is the position to place an infant in who cannot yet walk or squat during a "Tet spell".
What is knee to chest position?
ARF usually occurs about 4 weeks after this specific infection.
What is Strep A?
The permanent structure that is created as a result of the ductus arteriosus constricting and atrophying.
What is the ligamentum arteriosum?
This heart defect is characterized by a harsh, machine like murmur, heard loudest under the left clavicle.
What is Patent Ductus Arteriosus (PDA) ?
Name three signs of infection at the insertion site.
What are: purulent drainage, foul odor, redness, swelling, irritation?
The nursing intervention for a polycythemia child to decrease their chance of clots, blockages or CVA.
What is ensuring hydration?
Overproduction of RBCs makes the blood more thick and slow moving. Maintaining adequate hydration is a priority nursing intervention.
This is the antibiotic given to a child who has recovered from ARF, but has a documented allergy to penicillin.
What is erythromycin?
This cardiovascular force must stop dramatically at birth to allow the heart to transition from right sided, to left sided, pressure dominance.
What is pulmonary vascular resistance?
The acronym that represents the 4 specific anatomical defects found in Tetrology of Fallot.
Double points if you can name what the acronym stands for.
What is DROP?
D= Displaced/ overriding aorta
R= Right ventricular hypertrophy
O= Opening in the septum (VSD)
P= Pulmonary valve stenosis
Parents and child(if applicable) should be told to avoid these two things until 3 days after the procedure.
What are: tub baths and strenuous exercise?
This is the treatment for Acute Rheumatic Fever.
Bonus points if you can name another medication used in this illness.
What is 10 days of penicillin?
Bonus: corticosteroids, Haldol (jerky movements)
The acronym that represents the criteria of ARF.
Double points if you can name what the acronym stands for.
What is JONES.
J= Joints (Arthritis)
O= Carditis (think of O as an empty heart)
N= Nodules (SQ)
E= Erythema Marginatum (Rash)
S= Sydenham chorea (S for spastic movement)