Cardiovascular Dysfunction

Question 1

How the does the ductus arteriosus close

Answer 1

from oxygen cause vasoconstriction

Question 2

When is the functional closure of the ductus arteriosus suppose to happen

Answer 2

48-72 hours

Question 3

About when will the anatomical closure of ductus arteriosus happen

Answer 3

10-21 days

Question 4

What is an conplication of a ductus arteriosus that stays open too long and why

Answer 4

pulmonary edema resulting in tachypnea and lung crackles

bec too much blood is going to the lungs

Question 5

Nursing care for pulmonary edema from patent ductus arteriosus

Answer 5

NSAID bec they stop prostaglandins
O2
fluid restriction - might order diuretics

Question 6

What type of surgery would be used to fix a patent ductus arteriosus

Answer 6

ligation

Question 7

What surgery would not be used to fix a patent ductus arteriosus

Answer 7

bypass

Question 8

When would be not want to close a patent duct arterio

Answer 8

when other defects cause the baby to need the ductus arteriosus to live

Question 9

What are some signs of supraventricular tach

Answer 9

racing heart
angina
dizziness

Question 10

non-hospital nursing care for supraventricular tach

Answer 10

bare down act like your pooping
ice to face
carotid massage

Question 11

What type of med treats supraventricular tach

Answer 11

adenosine

Question 12

What does atropine do

Answer 12

increases HR by decreases AV node resistance

Question 13

How is adenosine given

Answer 13

fast IV push

Question 14

What treatment if adenosine doesnt work

Answer 14

cardioversion

Question 15

What is a nursing con when a pat is scheduled for a cardioversion

Answer 15

advocate for pain meds

Question 16

What are some symptoms of a CHF

Answer 16

edema
crackles
poor feeding - evidence of fatigue
portal HTN

Question 17

treatment for CO for CHF pats

Answer 17

inotropics- digoxin

diuretics/fluid restrictions

Question 18

Signs of dig toxicity

Answer 18

Confusion.
Nausea, vomiting, diarrhea.
yellow green rings in vision

Question 19

What are some things that would indicate transposition of the great arteries

Answer 19

if a baby’s O2 sat wont go above the 80’s, is otherwise normal besides cyanosis, and the O2 sat gets worse when youu give O2 or NSAIDS

Question 20

Why would giving O2 or NSIADS with Transposition of the great arteries make things worse

Answer 20

bec the ductus arteriosus is the only thing getting O2 to the rest of the body so O2 or NSAIDS would make it close

Question 21

What meds would you give a trans position of great arts pat

Answer 21

prostaglandins

Question 22

What might be some side effects of prostaglandin meds

Answer 22

fever

apnea

Question 23

Nursing care for transpot of G art pat before travel to states

Answer 23

NPO
prostaglandins
IV fluids
meds for intubation

Question 24

How is prostaglandins given

Answer 24

continuous IV

Question 25

What are the signs of coarctation of aorta

Answer 25

bounding pulse in upper extremities and absent pulse in lower cool and clammy poor feeding

Question 26

What is coarctation of aorta

Answer 26

narrowing of a short section of the aorta

Question 27

What are some things to assess for when coarc of aorta is suspected

Answer 27

pulse differential between lower and upper extremities | BP on all four limbs - usu 10mm diff

Question 28

What is a nursing con for someone with coarc of aorta

Answer 28

ductus arteriosus needs to stay open until surgery

Question 29

What are the 4 defects associated with Tetrology of Fallot

Answer 29

pulmonic stenosis VSD right vent hypertrophy overriding aorta

Question 30

What are the s/s of kawasaki's disease

Answer 30

high fever red lips strawberry tongue

Question 31

Treatment for kawasaki

Answer 31

high dose IV immunoglobin G | Aspirin

Question 32

What is kawasakis dis

Answer 32

inflammation in blood vessels

Question 33

What defect is used to indicate the level of severity of tetrology of fallot

Answer 33

pulmonic stenosis - the more stenosis the worse

Question 34

treatment for Tet of Fallot

Answer 34

prostaglandins to help perfusion | surgery

Question 35

What is a Tet spell

Answer 35

rapid development of cyanosis

Question 36

What triggers tet spells

Answer 36

things that increase O2 demand like feeding crying

Question 37

Nursing care for Tet spells

Answer 37

put their knees up toward chest | for kid have them squat

Question 38

What is some discharge teaching for tet of fallot

Answer 38

knee to chest minimize pain minimize illness bec causes dehy so advocate for vaccines