Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Pediatrics > ATI 20 - Congenital Heart Disease - INCR PULMO BF > Flashcards

ATI 20 - Congenital Heart Disease - INCR PULMO BF Flashcards

(40 cards)

Start Studying
1
Q

Congenital Heart Disease

occurrence

A

8-12 per 1,000 live birth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Congenital Heart Disease

genetic + environmental causes

A
  • drug exposure
  • maternl viral infectn
  • maternl metab disorder
  • incr maternl age
  • multifactorial genetc pattern
  • chrmsml abnorm
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Congenital Heart Disease

etiology

A

inadequate CO

-hypertrophy followed by failure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Congenital Heart Condition

nursing care

A
  • limit feeding to 30min unless instructed otherwise
  • careful w fluid + O2
  • breastmilk preferred (possibly pumped, fortifd, or supplmtd)
  • infectn prevention
  • maybe transpyloric, nasogastric, gastronomy tube
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

___ is required before cardiac catheterization

A

baseline assessment

-make sure no allergies to iodine or shellfish bc contrast

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

cardiac catheterization

post op care

A
  • continuous cardiac + pulse ox
  • assess pulse for symmetry
  • assess skin
  • assess insertion site for bleed/hematoma
  • prevent bleeding by keeping extremity in straight position
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

cool extremity that blanches after cardiac catheterization can indicate

A

arterial obstruction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

sudden sustained incr in pulse/resp + decr in perfusn may indicate…

A

early hemorrhage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

INCREASED pulmonary BF

clinical manifestations

A
  • tachypnea
  • tachycardia
  • murmur
  • *CHF**
  • poor wt gain
  • diaphoresis
  • periorbital edema
  • freq resp infection
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

DECREASED pulmonary BF

clinical manifestations

A
  • *cyanosis**
  • hypoxic spells
  • poor wt gain
  • polycythemia
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

OBSTRUCTION to systemic BF

clinical manifestation

A
  • *CHF w pulmo edema**
  • diminished pulse
  • poor color
  • delayed cap refill time
  • decr UO
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

MIXED Defects

clinical manifestations

A
  • *cyanosis**
  • *CHF can occur w incr shunting**
  • poor wt gain
  • pulmo congestn
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Patent Ductus Arteriosus

occurrence

A

common

-5-10% of all infants w congenital heart disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

normal ductus arteriosus

A

blood goes fr pulmo artery to aorta

  • closes 10-15 hr after birth
  • complete seal after 10-21 days after birth
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

normal closure of ductus arteriosus is triggered by…

A

high O2 saturation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Patent Ductus Arteriosus

pathophysiology

A

at birth, SVR incr + PVR decr

|&raquo_space;reverses flow across ductus arteriosus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Patent Ductus Arteriosus

is common in…

Study These Flashcards
A

preterm infants w resp distress syndrome or hypoxemia

18
Q

Patent Ductus Arteriosus

clinical manifestations

Study These Flashcards
A
  • *continuous machinery murmur during sys + dias**
  • *thrill in pulmonic area**
  • full, bounding pulse
  • widened pulse pressure
  • if CO is low, hypotension
  • CHF
19
Q

Patent Ductus Arteriosus are at a high risk for…

Study These Flashcards
A

freq rsp infectn

PNA

20
Q

Patent Ductus Arteriosus

therapy fr least to most invasive

Study These Flashcards
A
  • wait + monitor
  • medication
  • cardiac catheter to insert coils + occlude PDA
  • thoracoscopic repair (ligate vessels)
21
Q

Patent Ductus Arteriosus

medications

Study These Flashcards
A

-prostaglandin inhibitor
-ibuprofen
-indomethacin
(helps w closure)

22
Q

Normal foramen ovale

Study These Flashcards
A

blood moves fr RT atrium to LFT atrium

23
Q

Atrial Septal Defect

Study These Flashcards
A

opening bw atrium septum remain open

|&raquo_space;allows left-to-right shunting

24
Q

small vs large Atrial Septal Defect

Study These Flashcards
A

small: patent foramel ovale
large: completely absent septum

25
small - mod Atrial Septal Defect in infants + young children | clinical manifestations
usually asymptomatic
26
LARGE Atrial Septal Defect | clinical manifestations
- may cause CHF - easily tired + poor growth - loud harsh murmur w dixed split second heart sound
27
adults w uncorrected small to mod Atrial Septal Defect are at an incr risk for..
stroke
28
ATRIAL SEPTAL DEFECT | therapy fr least to most invasive
- wait + monitor - cardiac catheter, septal occluder - patch closure if CHF is present
29
cardiac catheter, septal occluder | post care
aspirin at 81mg/day for 6 months
30
VENTRICULAR SEPTAL DEFECT | pathophysiology
opening in ventricular septum >>incr pulmo blood flow >>blood is shunted fr LFT.VNTRCL to RT.VNTRCL to PULMO ARTERY
31
most common congenital heart defect
VENTRICULAR SEPTAL DEFECT
32
SMALL VENTRICULAR SEPTAL DEFECT | clinical manifestations
may have no symptoms | -may close spontaneously early in life
33
MOD - LARGE VENTRICULAR SEPTAL DEFECT | clinical manifestations
- may be assoc w CHF, poor growth, + decr exercise tolerance - loud harsh murmur at left sternal border - thrill may be present
34
VENTRICULAR SEPTAL DEFECT | least to most invasive therapy
- wait + monitor - cardiac catheter closure - surgery after 1yo
35
surgery for VENTRICULAR SEPTAL DEFECT | teaching re age
best after 1yo - if CHF s/s cannot be medically managed, then w/in first 6 mo - highest risk in first 2 mo - good prognosis post op
36
ATRIOVENTRICULAR CANAL DEFECT | pathophysiology
-one AV valve + large septal defect bw both ATRIA + VENTRICLES
37
*ATRIOVENTRICULAR CANAL DEFECT | etiology
occurs in 2% of congenital heart defect cases **70% of these kids have DOWN SYNDROME**
38
ATRIOVENTRICULAR CANAL DEFECT | clinical manifestation
-infants often develop CHF, tachypnea, avoidant/restrictv food intake disorder (failure to thrive), recurrent respiratory, infections, and repeated resp failure S1 accentuated, S2 split -holosystolic murmur -thrill
39
ATRIOVENTRICULAR CANAL DEFECT | holosystolic murmur can be heard at...
left lower sternal border | -may be transmitted to left axilla when mitral regurg is present
40
ATRIOVENTRICULAR CANAL DEFECT | clinical therapy
* *CHF is treated * *surgery bw 2-4mo to prevent pulmo vasc disease - patch septal defect - mitral valve replacemt - infective endocarditis prophylaxis for 6 mo

Pediatrics (51 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions