Peds Exam 1 - Blood, Heart, Perfusion Flashcards Preview

NURS210 > Peds Exam 1 - Blood, Heart, Perfusion > Flashcards

Flashcards in Peds Exam 1 - Blood, Heart, Perfusion Deck (62)
Loading flashcards...
1

what are the examples of an increase in pulmonary flow for a cardiac defect

VSD
AVD
PDA

2

what happens with the congenital heart defect that increases pulmonary flow

the left heart is hypertrophied, pressure increase
increase in lung circulation

3

wet lung sounds
increase in respiratory rate
increase in metabolic rate
increase in heart rate
poor feeding and fatigue
frequent respiratory infections

all are symptoms of what?

heart defect -- increase in pulmonary flow

4

nursing considerations for VSD

supplement nutrition
strict intake and output --> CHF

5

what happens during a restrict in blood flow

obstruction in blood flow to right heart, decrease in oxygenated blood

6

dyspnea
cyanosis that does not improve from o2
loud murmur
fatigue while feeding
knee to chest positioning in child is an example of what congenital heart defect

restrict in blood flow

7

what are the types of heart defects that restrict blood flow

tetralogy of fallot
coarction of the aorta
hypo plastic left heart

8

what are the defects in tetralogy of fallot

pulmonary stenosis
overriding aorta
right ventricular hypertrophy
VSD

9

what is an outcome of teratology of fallot

a tet spell

10

characteristics of a tet spell

diminish in heart murmur
rapid deep breathing
worsening cyanosis
uncontrollable crying and panic

11

what can cause a tet spell

agitation and crying
early morning after awakening
noxious stimuli

12

what is a bad sign during a tet spell

heart murmur goes to bay

13

why is a diminished heart murmur bad during a tet spell

pulmonary blood flow is severely compromised

14

what makes up a tet treatment

positioning
reducing irritable stimuli
oxygen
opiods

15

during tachycardia in a child - what meds would be best

lanoxin
lasix
Ace inhibitors

16

what would be good education for a child with a increase in pulmonary flow heart defect (i.e. PDA, AVD,VSD)

it may close!
if before 6 mos old

17

opening in atrial septum

AVD

18

blood shunted into the pulmonary artery

VSD

19

mix of pulmonary blood into aorta

PDA

20

what is affected during hypoplastic heart

mitral, left ventricle, aortic valve

21

why does hypo plastic left heart happen

the left side of the heart is under developed

22

what is the coarction of the heart?

skinny narrow part of the aorta

23

manifestations of CHF

dyspnea
tachypnea
intercostal retractions

24

what is rheumatic fever

autoimmune connective tissue disorder

25

what are manifestations of rheumatic fever

J - oints
O - "endocarditis" i.e. heart infection
N - odule
E - rythema
S - haking

26

what causes rheumatic fever?

uncontrolled strep throat, not treated

27

what is a common side effect of rheumatic fever?

scarring of the mitral valve

28

what may happen if mitral valve scarring happens in rheumatic fever?

murmur may develop

29

positive diagnosis of rheumatic fever?

2 JONES criteria and recent strep infection

30

nurse management of rheumatic fever?

prevent strep
monitor vitals
auscultate heart
anti-biotics
long term anti bionics
baseline EKG