left to right shunting
PDA, ASD, VSD
what are the 3 left to right shuntings
VSD, pulmonary stenosis, overriding aorta, right ventricular hypertrophy
what is tetralogy of fallot
age, immunodeficiency, IV drug use, DM, prosthetic heart valves, h/o endocarditis, intravascular access, cardiac device
what are the risk factors for ineffective endocarditis
midsternal chest pain, pale, diaphoretic, dyspnea, tachypnea, hypotension, syncope, feeling of impending doom, N/V, dysrhythmias
what are the S/S of an AMI
caused by untreated strep
what is rheumatic fever and Kawasaki's disease
what is the management of PDA
Tet spells, poor weight gain, systolic heart murmur
what are the S/S of tetralogy of fallot
Osler's nodes, Janeway lesions, splinter hemorrhage, murmur, fever, fatigue, confusion
what is the S/S of ineffective endocarditis
S/S, 12 lead, troponin
how do you diagnose an AMI
chorea, carditis, erythema marginatum, polyarthritis, fever, abdominal pain, SQ nodules
what is the S/S of rheumatic fever
cardiac cath, diuretics, digoxin, beta blockers
what is the management of ASD & VSD
shunt/stent placement, maybe prostaglandin drip, knee to chest
what is the management for tetralogy of fallot
IV ABX, penicillin G, ceftriaxone, vancomycin, nafcillin, gentamicin
what is the management of ineffective endocarditis
MONA, PCI, fibrinolytic, nitrates, beta blockers, ACE inhibitors, maintain COP
what is the management for an AMI
fever, conjunctivitis, fissured lips, strawberry tongue, inflamed mouth, enlarged lymph nodes, erythematous skin rash, swollen hands
what is the S/S of Kawasaki's disease
often asymptomatic, continuous murmur, tachypnea, wide pulse pressure, bounding pulses, activity intolerance
what are the S/S of PDA
cyanosis, tachycardia, dyspnea, lethargy, finger clubbing
what are the S/S of tricuspid atresia
valve repair/replacement
what is the surgical management of ineffective endocarditis
dysrhythmias, sudden death, heart failure, cardiogenic shock
what are the complications of an AMI
prevent damage to the heart, ABX, rest, antipyretics, anti-inflammatory, good dental hygiene
what is the management of rheumatic fever
often asymptomatic, midsystolic/pansystolic murmur, frequent respiratory infections, tachypnea, infant tires with feedings, poor growth rate
what are the S/S of ASD/VSD
maybe prostaglandin drip, multiple surgeries
what is the management of tricuspid atresia
embolic event, TIA, stroke, pulmonary emboli, heart failure, dysrhythmias
what are the complications of ineffective endocarditis
beta blockers, ivabradine, Aldactone, furosemide, ACE inhibitors, ARBs, hydralazine, CCBs, digoxin, pacemaker, continuous inotropic therapy
what is the management of heart failure
IV gamma globulin, ASA, coumadin, pause routine immunizations
what is the management for Kawasaki's disease