Peri Arrest In Children With CHD

Question 1

Why should smaller amounts of drugs be used in kids with CHD

Answer 1

Slower circulation

Question 2

Which drug type should dose not be decreased in CHD

Answer 2

Muscle relaxants

Question 3

What 2 drugs should be given to a child with suspected CHD without certain diagnosis

Answer 3

Benzylpenaprostin
Antibiotics

Question 4

Action of Benzylpenaprostin in CHD

Answer 4

Opens foetal ducts

Question 5

Why might a child with CHD deteriorate a couple;e of days after birth

Answer 5

Ducts close

Question 6

Closing of which duct causes deterioration in a child with transposition of the great vessels

Answer 6

Ductus arteriosus

Question 7

Transposition of great vessels management

Answer 7

Initial - create passages between LV and RV to allow blood mixing
Definitive - surgical correction of vessels

Question 8

Why are babies with VSD often breathless

Answer 8

High volume of blood passing through lungs

Question 9

ALCAPA

Answer 9

Aberrant left coronary artery arising from pulmonary artery
Myocardium perfused by deoxygenated blood causing angina pain

Question 10

ALCAPA signs and symptoms

Answer 10

Crying - angina pain
Large heart on XR

Question 11

4 aspects of tetralogy of fallot

Answer 11

Overriding aorta
Pulmonary stenosis
RVH
VSD

Question 12

Why should a baby with tetralogy of fallot be positioned knees to chest

Answer 12

Kinks femoral arteries essentially cross clamping aorta -> forces blood across VSD in opposite direction from RV to LV

Question 13

Tx of spelling infant

Answer 13

Comfort
Oxygen
Analgesia
Volume
Incr SVR - mechanically or w drugs
Beta block