Intro to Cardiac
Primary organ of the cardiovascular system
Heart
List the diseases associated with decreased pulmonary blood flow
Tricuspid Atresia And Tetralogy of Fallot
_________________________ disease is associated with coronary artery dilation or aneurysm formation and is most common in the subacute phase. Requires Echo to monitor changes and. Anticoagulation Rx as prescribed
Kawasaki Disease
Treatment for this disease includes IVIG within 1st 10 days and Aspirin and the aspirin can be lifelong if coronary issues occur
Kawasaki
A hole in the septum between the right and left that results in increased pulmonary blood flow (Left-to-right shunt)
Loud, harsh murmur at left sternal border Heart failure May close spontaneously in life
VSD
The heart and its vessels are formed by ______ week of gestation
8
this disease has four disorders associated with it.
Tetralogy of Fallot
Pulmonary stenosis, VSD, overriding aorta, and right ventricular hypertrophy.
Everything is under developed in this cardiac disorder!!! Think EVERYTHING SMALL and requires three surg repairs
Hypoplastic Left heart Syndrome
Norwood, Glen, Fontan
This disease follows 206 weeks after untreated respiratory infection major manifestations include carditis, polyarthritis, chorea-emotional instability, pink macular rash fever and non tender nodules
Rheumatic fever
A hole in the septum between the right and left atria that results in increased pulmonary blood flow (left-to-right shunt)
Loud, harsh murmur with a fixed split-second heart sound
Heart Failure, Asymptomatic Patch closure in catch lab and low dose aspirin 6m after procedure
ASD
Nursing Care of a child with a cardiac condition includes
administration of meds
Evaluate for complications
respite care & age appropriate activities
Daily weights and I&O’s
Holistic Care
Disorder is associated with TET spells. Nurses put the infants in knee chest position for tet spells
Tetralogy of Fallot
Children are quitting what are they doing
TET Spell
Melissa is a new nurse she has two patients that have similar symptoms and she’s trying differentiate between Rheumatic Fever and Kawasaki Disease what are the key differences
Rheumatic Fever follos Group A strep and is treated with Penicillin V orally Monthly IM Penicillin G and daily sulfa orally. The patient will have macular rash. titiers is most reliable in diagnosing this disorder
Kawasaki -is an acute febrile disorder and the fever can last up to 2 weeks. The patient will have strawberry tongue swelling, red and peeling feet. They can develop carditis TX includes IVIG and aspirin
•condition in which the normal fetal circulation conduit between the pulmonary artery and the aorta fails to close and results in increased pulmonary blood flow (left-to-right shunt)
Systolic murmur, Wide pulse pressure, Bounding pulses, Asymptomatic, Heart Failure, Rales
Thoracoscopic Repair
PDA
signs and symptoms of CHF in children
fatigue; feeding problems; failure to gain weight; pale, mottled, or cyanotic color; tachycardia; rapid respiration; dyspnea; flaring of the nares; and use of accessory muscles with retractions.
Such children may also have edema, heart enlargement, and liver enlargement.
Disease associated with decreased pulmonary blood flow marked by complete closure of the tricuspid valve atrial opening is needed to allow blood in left atrium.
S/S cyanotic, dyspnea and tachcardia in infants and hypoxemia, and clubbed fingers in older children
Requires Shunt Glen and modified Fontan
Tricuspid Atresia
Aorta is misplaced and so is pulmonary vein. Cardiomegaly and heart failure can occur also has varying levels of cyanosis
Meds include IV prostaglandi E and surgery to switch
Transposition of the Great Arteries
Medications used in CHF
Digoxin-contractibility
Ace Inhibitors
Diuretics
narrowing of the pulmonary valve or pulmonary artery that results in obstruction of blood flow from the ventricles
Therapeutic Procedures
Nonsurgical, Balloon angioplasty
Surgical procedures: Infants-Brock procedure & Children: Pulmonary Valvotomy
Pulmonary Stenosis
Primary treatment in CHF focuses on
reducing workload, improving oxygenation and balancing fluids
____________________ presents with cyanosis at birth and it progresses over the 1st year of life. Has a systolic murmur.
PT can get a shunt until full repair and the full repair is generally made within 1st year of life
Tetralogy of Fallot
A child has just been born and he is no longer bing supplied by the mother what’s the goal
transition to extra uterine life
_______________ is an indication of cardiac effectiveness
Urine Output
Craziest thing to do this year
SCHOOL