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Flashcards in Peds CV Deck (16):
1

3 shunts in fetal blood?

Ductus venosus liver
Foramen ovale
Ductus arteriolus from PA to aorta

2

What closes ductus arteriosus

decrease PGE (after oxygen!) which is why careful with NSAIDs

Keep it open if cyanotic

3

Non cyanotic heart defects are what?

L To RIGHT (makes sense)

4

VSD h and P?

Tx?

RESP INFECTIONS and may have failure to thrive or be small

Dx with Echo

Tx: follow small defects
IF LARGE SHUNTS: Diuretics, ACE inhibitor or repair

5

Wide fix S2?

ASD

If minor, no treat
Tx needs antibiotic before surgery if 2x pulm flow as system flow

6

PDA risk factor?

Prematurity. Rubella. Prostaglandin admin

7

PDA H and P?

may have poor feeding or sweating with feeds

TX com IN and CLOSE the door.
Indomethacin closes it

8

Most common congee heart defect?

VSD

9

Ebstein is what from what?

RA is big, RV is small, tricuspid regurg/sten and PFO

10

Tet is what?

Pulm stenosis, VSD, RVH, overriding aorta

IHOP

11

Risk factors for TET?

Same for TGA:

Any trisomy, or Cri-du-chat

12

Tet H&P

Squatting to increase peripher vasc resistance to make L to R shunt

13

Tx for Tet?

PGE for PDA
O2
Propranolol (prevent hypertrophy or something)
IV fluids
Morphine
Surgical correction if symptoms

14

Total Anomolous Polmary Venous Return

Pulm veins return to circulation of right heart

Closed loop, so need shunt to keep alive!!!!

15

Endocarial cushion defect

Complete defect is single AV canal

Incomplete resembles ASD
Tx is surgery

16

6 week old with MI on ECG is from what?

Anomolous origin of Left main artery from pulm artery and not aorta