Anatomy
The three types of pulmonary atresia
PA Mapcas
Pa ivs
Pa vsd
What procedures have high risk of heart block
Kono, AV Canal, TETs and Primum ASD Repairs
This is the renal perfusion dose of DOpamine
2-5 mcg/kg/min
These are s/s of what...
increase cvp, decrease bp, increase HR, narrow pulse pressure, pulsus paradoxus, muffled heart sounds
What medications would you want drawn up for intubation of a critical patient?
versed
Roc
fentanyl
ATROPINE
(Epi spritzers)
Types of mitral and aortic valves issues in HLHS and best one to have
MS/AS, MS/AA, MA/AA and MS/AS is best
What is treatment of unstable SVT
cardioversion
Why do we worry about a low potassium and administering digoxin?
Digoxin and potassium compete for receptor sites and when K is low- dig has more site to bind to and can increase risk of toxicity.
These are s/s of what...
Lightheaded, dizzy, irritability, high HR, rapid atrial tachycardia
SVT
Treatment of a tet spell and what is does physiologically
knee to chest - increases svr
morphine- decreases catecholamines and relaxes infundibulum spasm
propranolol - decrease spasm and decrease HR
pehylephrine- increase svr, force blood through rvot
fluid- increases preload
what vsd is associated with a tet
anterior malaligned
this is the ability of the pacemaker to recognize intrinsic electrical activity of the heart
sensitivity
These are side effects of PGE infusion
fever
apnea
hypotension
These are s/s of what...
high pco2, decrease spo2, increase cvp, hypotension, pale, mottled,
pulmonary hypertensive crisis
what is avo2 difference diff
the difference between your arterial and venous oxygen content
What are MAPCAS
major aortopulmonary collateral arteries that develop to supply blood to the lungs when native pulmonary circulation is underdeveloped
What surgeries have an increase incidence of JET
tet, av canal, vsd, d-tga, tapvr
What are loading and maint doses of dig
Load 10/kg, maint 5/kg PO 4/kg iv
How do you diagnose a chylothorax
High CT output
Cloudy or opaque CT output
Serum and Fluid Triglycerides elevated >100 or higher than serum
Cell count
Lymphocytes elevated >80%
name the 5 glenns
Bidirectional
Bilateral Bidirectional
Kawashima Glenn
Pulsatile Glenn
Classic Glenn
4 components of a tet
PS, RV hypertrophy, Overriding aorta, VSD
What mode would you use to atrial sense and V pace
VVI
What ace inhibitor do we routinely use and what is its MOA
enalapril
inhibits angiotensin II which leads to vessel dilation which decreases preload and afterload
What are signs and symptoms of delirium
Irritability, restless, can't maintain eye contact,
Interpret this gas...
7.30, 55, 102, 25,
Respiratory Acidosis