Gunther/Junkins- Large Group Flashcards
(23 cards)
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
RSR’ pattern in V1
Normal Pediatric ECG
*slide 76
Infant tachycardia HR
greater than 220bpm
Slightly peaked P waves
Normal Pediatric ECG
*slide 76
Older child’s tachycardic HR
greater than 180bpm
Slightly long QTc
<490ms in infants<6mos
Normal Pediatric ECG
*slide 76
Q waves in inferior and left precordial leads
Normal Pediatric ECG
*slide 76
Marked sinus arrhythmia
Normal Pediatric ECG
*slide 76
Syncope with hearing loss
Jervell-Lange-Nielsen syndrome
