General overview of heart problems in children Flashcards
CHF is usually due to what, in children?
congenital heart defects
Early S/S of CHF in children:
_____ pulse at rest and with slight exertion.
___ respiratory rate
____ sweating (infants mainly)
_____ fatigue
______ weight gain
- increased
- increased
- scalp
- increased
- sudden
TX:
Listen to ____
control room____
____ up
emphasize____
____ stimuli
____ , humidified oxygen
_____ sleep
- lungs
- temperature
- sit
- rest
- decrease
- cool
- uninterupted
1 pound or more in weight gain is____
fluid
any extreme of temperature does what to the heart?
increases cardiac workload
why do we need to sit the baby up?
to decrease workload
when it comes to nutrition, what should be VERY WELL done prior to eating?
VERY WELL RESTED
We feed the baby when he/she wakes up or when showing signs of hunger (sucking fists). why do we want to do this?
we don’t want the baby to cry because crying really increases workload on the heart
do we want the baby to eat a large amount of food at one time? or do we want small frequent feedings?
- small frequent feedings because they are not as tiring
is it cool to increase the calories in the feeding?
yes; they have an increased metabolic rate
How often should we feed this baby? why?
every 3 hours.
- Q2 hrs won’t give the baby enough rest in between
- Q4 hrs requires increased volume and the baby can’t handle sucking so much.
- it takes about 1/2 an hour for an infant to complete a feeding, so prolonging it leads to exhaustion and decreased rest periods*
what kind of nipple do we want to use to feed this baby?
- soft with a large opening so baby won’t have to work so hard to get the formula out.
if the baby is experiencing respiratory distress, what kind of feeding would be best?
gavage feeding (Gavage (guh-vahj) feeding is a way to provide breastmilk or formula directly to your baby’s stomach. A tube placed through your baby’s nose (called a Nasogastric or NG tube) carries breast milk/formula to the stomach.)
T OR F?
Breast fed babies with heart defects do not need additional supplement for calories
F!
T OR F?
You usually don’t have to restrict sodium in babies
T
