Gunther/Junkins- Large Group Flashcards
Drug Tx for Patent Ductus Arteriosus
Indomethacin
Endocarditis
Vancomycin and pic line
Prostaglandin infusion at 0.05mcg/kg/minIV
Keeps ductus arteriosus open
Drug to close patent ductus arteriosus
Indomethacin
A tachycardia associated with Infant HR>220bpm and older children HR>180bpm
Supra ventricular tachycardia
*see slide 84
- Long QT syndrome
- Syncope with hearing loss
Jervell-Lange-Nielsen syndrome
- Long QT syndrome
- Syncope NO hearing loss
Romano-Ward syndrome
- Long QT syndrome
- Acquired
- Autosomal recessive
Jervell-Lange-Nielsen syndrome
- Most common inherited long QT syndrome
- Acquired
- Autosomal dominant
Romano-Ward syndrome
Tx
- IV Mg
- Measures to shorten QT interval
- Direct-current defibrillation when Vfib is precipitated
Torsades
In this syndrome, doctors worry most about aortic root dilation and dissection
Marfan’s
Associated with significant hemodynamic compromise and often death
Torsades
Mitral valve prolapse is a sequelae for this syndrome
Marfan’s
- Diagnosed by ECG
- May cease spontaneously or degenerate into Vfib
Torsades
Rightward QRS axis>+90degrees
Normal Pediatric ECG
*slide 76
