Vascular Disease
The virus is Acute Rheumatic Fever usually caused by?
What is Strep
The type of shunting is occurring in the heart if there is increased pulmonary blood flow?
What is Left to Right
Causes of Pediatric heart failure
What is Volume overload, pressure overload, decreased contractility, high output demands, and diseases of other organ systems
These defects occur because venous blood bypasses the lungs and enters systemic circulation.
What causes cyanotic congenital heart defects?
I pump blood throughout the body.
What is the heart?
Three main layers of the heart
Pericardium, Myocardium, Endocardium
The two medications used to treat Acute Rheumatic Fever.
What are Aspirin and Pencillin
The ways to minimize cardiac demands?
Normal temp environment
Treat infections aggressively
Reduce effort of breathing
Promote rest
Use sedatives on extremely irritable child
Generalized weight gain
What is systemic venous congestion?
This is the physical sign seen in the fingertips of children with chronic hypoxemia, caused by soft tissue proliferation at the nail beds
Clubbing
I remove waste like carbon dioxide from the body.
What are the lungs?
I require no fetal circulated blood.
What is the lungs
Medication needed long term for Acute Rheumatic Fever
What is Penicillin
One example of a Left to Right Shunt defect
What is ASD or VSD
Classic findings are seen on chest X-ray in heart failure?
Cardiomegaly and congested lungs.
How are cyanotic congenital heart defects diagnosed?
Accurate health history, chest X-ray, and echocardiogram.
I am the fraction to calculate cardiac output.
What is CO + HR X Stroke volume?
My walls thicken at birth due to the rise in systemic postnatal vascular resistance and the pressure on me begins to rise.
What is the left ventricle?
The symptoms that CRASH stands for are Kawasaki Disease.
What is
Conjunctivitis (spares limbus)
Rash- all body parts
Adenopathy- enlarged lymph nodes (cervical)
Strawberry tongue
Hands and feet- swollen and rash
A PDA causes left ot right shunting. The symptom most expect with this.
Electrolyte to monitor during use of lasix.
Potassium
How are hypercyanotic spells treated?
Positioning, morphine, oxygen, hydration, and keeping the infant calm.
I decrease because the lungs have taken over oxygenation causing a vasodilating effect.
What is Pulmonary vascular resistance?
Requires the maximum amount of fetal blood circulation.
What is the brain?
When administering IVIG what should the nurse keep at the bedside?
Keep Epinephrine, antipyretic, antihistamines, and steroids at beside (benadryl, solumedrol,zofran)
An example of a congenital heart defect where the pressure on the Right side of heart is less than the left.
What is Tetralogy of Fallot
Serious adverse effects of furosemide?
What is ototoxicity and hypokalemia
Essential nursing priorities in caring for a child with cyanotic congenital heart disease?
Education, ensuring adequate nutrition, preventing dehydration, managing respiratory status, treating spells, and preventing infection.
Located in the right atrium near the opening of the superior vena cava.
What is the sinoatrial (SA) node?
The two-leaflet valve is located between the left atrium and the left ventricle.
What is the mitral valve?
Time that Kawasaki treatment should be started
What happens to pressure in the ventricle and great artery proximal and distal to an obstruction?
Pressure increases proximal and decreases distal
Signs of digoxin toxicity
Bradycardia, heart block, arrhythmias, nausea, vomiting, weakness, and visual disturbances
This complication occurs when chronic low oxygen causes the pulmonary arteries to constrict, leading to high pressure in the lungs and potential right-sided heart failure.
What is Pulmonary Hypertension
Pressure on me decreases because I pump to a low-pressured pulmonary bed making my walls remain thin.
What is the right ventricle?
I increase once the low-pressure placenta is removed.
What is systemic vascular resistance?